Individual provider Active NPI

Douglas R Jensen, MD

  • Anesthesiology Physician
  • Fishersville, VA
National Provider Identifier
1487681995
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
055970 Issued in VA
Practice address
Augusta Medical Center Anesthesia Dept
78 Medical Center Drive
Fishersville, VA 22939
Phone
(540) 427-4406
Fax
(540) 427-4915
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 055970 VA Primary

Addresses

Primary practice location

Augusta Medical Center Anesthesia Dept
78 Medical Center Drive
Fishersville, VA 22939

Mailing address

PO Box 890580
Charlotte, NC 28289-0580
Phone (540) 427-4406

Other identifiers 1

IdentifierTypeStateIssuer
005709695MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055970VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Augusta, P.L.C. Anesthesiology CurrentSince Oct 19, 2012 Accepting new patients

Locations

96 Medical Ctr Dr
Anesthesia Dept
Fishersville, VA 22939
Phone (540) 427-4406

96 Medical Ctr Dr
Fishersville, VA 22939
Phone (540) 427-4406

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

96 Medical Ctr Dr
Fishersville, VA 22939
Phone (540) 427-4406

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1487681995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890580",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890580",
            "telephone_number": "540-427-4406",
            "fax_number": "540-427-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUGUSTA MEDICAL CENTER ANESTHESIA DEPT",
            "address_2": "78 MEDICAL CENTER DRIVE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-427-4406",
            "fax_number": "540-427-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "055970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005709695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.