Tahirih Jensen D.O. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3985 Issued in AZ

Legal business name

TAHIRIH JENSEN D.O. PC

Practice address

6050 Highway 179 Ste 5
Sedona, AZ 86351-7986

Phone

(928) 282-7322

Fax

(928) 282-7350

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Tahirih Theone Jensen, D,O.NPI 1588759468

Title

Owner

Phone

(928) 282-7322

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahirih Theone Jensen, DO

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1588759468
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1366643777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21450",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863411450",
            "telephone_number": "928-282-7322",
            "fax_number": "928-282-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 HIGHWAY 179 STE 5",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517986",
            "telephone_number": "928-282-7322",
            "fax_number": "928-282-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHIRIH JENSEN D.O. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TAHIRIH",
        "authorized_official_middle_name": "THEONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-282-7322",
        "authorized_official_credential": "D,O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882797",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.