Mark R. Jenkins II

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.009980 Issued in LA

Practice address

1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600

Phone

(504) 988-5800

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Radiology, LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1336192863
  NPD (past)
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  NPD (past)
• Quest Imaging Medical Associates, Inc.

  • Radiology Clinic/Center
  • Bakersfield, CA
  • NPI 1942236443
  NPD (past)
• Radiology Group LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1003866583
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1316065758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "address_2": "HC 71",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "address_2": "HC 71",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C30462",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.009980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08238561",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012947",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00417482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Stephen Jenkins, MD
• James S Jenkins, MD
• Javon Jenkins
• Jerell Jenkins, BS
• Karen Marie Jenkins, MA.ED., B.A.,L-SLP-A
• Misty Lorraine Jenkins, NP
• Regina Jenkins
• Rodisha Jenkins
• Tonjaletha Howard Jenkins, MS, LPC, NCC
• Jennifer Lew, LPC, LLC

• Diagnostic Radiology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.