Ulf K Jensen MD PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E0456 Issued in AR

Legal business name

ULF K JENSEN MD PC

Practice address

310 Falls Blvd S
Wynne, AR 72396-3013

Phone

(870) 208-2106

NPI assigned

Oct 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ulf Kirkegaard-Jensen, M.D.

Title

President

Phone

(870) 238-7471

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194815456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 MEADOWBROOK LN N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961703",
            "telephone_number": "870-328-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963013",
            "telephone_number": "870-208-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULF K JENSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKEGAARD-JENSEN",
        "authorized_official_first_name": "ULF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-238-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E0456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Wynne, AR
• Providers in Wynne, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.