David Jenkins

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12254645-1204 Issued in UT

Practice address

405 W Grand Ave
Dayton, OH 45405-7538

Phone

(937) 723-3245

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.jenkins.1@1575.direct.athenahealth.com

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.

• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Boulder City Hospital Inc

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1881739613
  Medicare reassignment NPD
• Boulder City Hospital Inc.

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1619739117
  Medicare reassignment NPD
• Bullhead City Clinic Corp

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD
• Boulder City Hospital Inc.

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1184050916
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boulder City Hospital Inc

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1881739613
  Care Compare affiliation
• Bullhead City Hospital Corporation

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1639524283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "STE 200",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904496",
            "telephone_number": "435-628-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-723-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "12254645-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Fenton Jenkins, STNA, EMT-B
• Ashley Jenkins
• Aubrey Jenkins, CDCA
• Brian Keith Jenkins, RECOVERY SPECIALIST
• Chasity Nicole Jenkins
• Dawn Jenkins, STNA
• Deborah Jenkins
• Dexter L Jenkins Sr., CDCA
• Fernandis Wayne Jenkins
• H Stanley Jenkins, M.D.

• Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.