Active NPI
Robert Mark Jensen, M.D.
- Plastic Surgery Physician
- Medford, OR
National Provider Identifier
1437147048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD17220
- Practice address
- 1353 E McAndrews Rd
Medford, OR 97504-6105 - Phone
- (541) 770-6776
- Fax
- (541) 770-5791
- NPI assigned
- Oct 7, 2005
- Last updated
- Jan 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD17220 | OR | Primary |
Addresses
Primary practice location
1353 E McAndrews Rd
Medford, OR 97504-6105
Mailing address
1353 East McAndrew Road
Medford, OR 97504
Phone (541) 770-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1437147048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 EAST MCANDREW ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-770-6776",
"fax_number": "541-770-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 E MCANDREWS RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046105",
"telephone_number": "541-770-6776",
"fax_number": "541-770-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OR",
"license": "MD17220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.