Active NPI
Thomas Scott Jenks, CRNA
- Certified Registered Nurse Anesthetist
- Buckhannon, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 69536
- Practice address
- 1 Amalia Dr
Buckhannon, WV 26201-2276 - Phone
- (304) 473-2000
- NPI assigned
- Jan 31, 2007
- Last updated
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 69536 | WV | Primary |
Addresses
Primary practice location
1 Amalia Dr
Buckhannon, WV 26201-2276
Mailing address
1 Amalia Dr
Buckhannon, WV 26201-2276
Phone (304) 473-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810008515 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Hospital of Anaconda
Practice addresses (Care Compare)
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69536 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Anesthesia Consulting Partners PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients |
Locations
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Butte, MT
- NPI 1053092189
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
dba Pintler Family Medicine East
- Family Medicine Physician
- Anaconda, MT
- NPI 1538597703
-
dba Pintler Orthopedics and Spine
- Surgery Physician
- Anaconda, MT
- NPI 1023623675
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
dba pintler family practice
- Family Medicine Physician
- Anaconda, MT
- NPI 1336244797
Hospital
-
dba anaconda internal medicine
- Internal Medicine Physician
- Anaconda, MT
- NPI 1427153881
Hospital
-
dba Pintler Family Medicine East
- Family Medicine Physician
- Anaconda, MT
- NPI 1538597703
Hospital
-
dba Pintler General and Thoracic Surgery
- Surgery Physician
- Anaconda, MT
- NPI 1639345341
Hospital
-
dba anaconda pediatrics
- Pediatric Adolescent Medicine Physician
- Anaconda, MT
- NPI 1992838288
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1205973260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012276",
"telephone_number": "304-473-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012276",
"telephone_number": "304-473-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKS",
"first_name": "THOMAS",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "69536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008515",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.