Connie Jenkins, M.D., Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

69215 Issued in OH

Legal business name

CONNIE JENKINS, M.D., INC

Practice address

5 W Church St
Pickerington, OH 43147-1210

Phone

(614) 321-6253

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Jenkins, MDNPI 1952479115

Title

Sole Incorporator

Phone

(614) 321-6253

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie S Jenkins, MD

  • Psychiatry Physician
  • Pataskala, OH
  • NPI 1952479115
  NPD (past) Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1538586144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W CHURCH ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471210",
            "telephone_number": "614-321-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CHURCH ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471210",
            "telephone_number": "614-321-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE JENKINS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "SOLE INCORPORATOR",
        "authorized_official_telephone_number": "614-321-6253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "69215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cortney Renee Compston
• Mary Condo
• Margaret Connor, LPC
• Michael S Connor, DDS
• Adriann Conover
• Amy Conrad
• Carrie Conrad, CDCA

• Psychiatry Physician in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.