John M Jensen

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S004334L Issued in PA

Legal business name

JOHN M JENSEN

Practice address

900 Hellam St
Wrightsville, PA 17368-1019

Phone

(717) 252-1575

Fax

(717) 252-2321

NPI assigned

Jun 13, 2006

Last updated

Aug 22, 2020By 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

Dr. John Martin Jensen Jr., DONPI 1871554873

Title

Solo Practice Physician

Phone

(717) 252-1575

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wrightsville Family Practice Other name

Locations

Practitioners 2

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.

• John Martin Jensen Jr., DO

  • Family Medicine Physician
  • Columbia, PA
  • NPI 1871554873
  NPD (past) Authorized official
• James Jensen, DO

  • Family Medicine Physician
  • York, PA
  • NPI 1851330914
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609819341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HELLAM ST",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173681019",
            "telephone_number": "717-252-1575",
            "fax_number": "717-252-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HELLAM ST",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173681019",
            "telephone_number": "717-252-1575",
            "fax_number": "717-252-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M JENSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SOLO PRACTICE PHYSICIAN",
        "authorized_official_telephone_number": "717-252-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S004334L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006437080004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02300000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wrightsville Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eastern York School District
• Tierni Leigh Eaton, NBC-HWC
• Tamaria Katrina Featherlin, PMHNP-BC
• John T Gill, CRS
• Rebecca Diane Hoke, ATC
• Lancaster General Health - Columbia Center (Penn Medicine LGHP Family Medicine Twin Rose Wrightsville)
• Susana Larvie, CRNP
• Liu #12 School Based Partial Hospitalization Program
• Shirley Mackley, PSY.D
• Nzingha Martin

• Family Medicine Physician in Wrightsville, PA
• Providers in Wrightsville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.