Active NPI
Allan D. Jensen M.D., P.a.
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1174826671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ALLAN D. JENSEN M.D., P.A.
- Practice address
- 200 E 33Rd St
Suite 426
Baltimore, MD 21218-3322 - Phone
- (410) 235-1133
- NPI assigned
- Dec 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allan D Jensen, M.D.
- Title
- President
- Phone
- (410) 235-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
200 E 33Rd St
Suite 426
Baltimore, MD 21218-3322
Mailing address
200 E 33Rd St
Suite 426
Baltimore, MD 21218-3322
Phone (410) 235-1133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4573AD | Other | MD | MEDICARE |
| 006271500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
86 State Cir
Annapolis, MD 21401
Phone (410) 263-3492
200 E 33rd St
Ste 426
Baltimore, MD 21218
Phone (301) 235-1133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Baltimore, MD
- NPI 1326023326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1174826671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 33RD ST",
"address_2": "SUITE 426",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183322",
"telephone_number": "410-235-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 33RD ST",
"address_2": "SUITE 426",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183322",
"telephone_number": "410-235-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLAN D. JENSEN M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-235-1133",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "4573AD",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006271500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.