Individual provider Active NPI

Donna Jensen, DO

  • Obstetrics & Gynecology Physician
  • Steubenville, OH
National Provider Identifier
1689676736
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036075946 Issued in IL
Practice address
4100 Johnson Rd Ste 100
Steubenville, OH 43952-2356
Phone
(740) 264-8760
Fax
(740) 346-0298
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34005154 OH
Obstetrics & Gynecology Physician 207V00000X 036075946 IL Primary

Addresses

Primary practice location

4100 Johnson Rd Ste 100
Steubenville, OH 43952-2356

Mailing address

4100 Johnson Rd Ste 100
Steubenville, OH 43952-2356
Phone (740) 264-8600

Other identifiers 2

IdentifierTypeStateIssuer
207VX0000XOtherOHTAXONOMY NUMBER
34005154OtherOHSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20120423000727 OH Practitioner - Obstetrics/Gynecology 9436311222 Practice locations: Toledo, OH
I20180730001224 IL Practitioner - Obstetrics/Gynecology 9436311222 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036075946ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District CurrentSince Dec 1, 2018 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
McDonough County Hospital District CurrentSince Dec 1, 2018 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 28, 2022 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Freeport Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

505 E Grant St
Ste 102
Macomb, IL 61455
Phone (309) 833-5959

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1689676736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 100",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-264-8600",
            "fax_number": "740-346-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 100",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-264-8760",
            "fax_number": "740-346-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34005154",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036075946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "207VX0000X",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "34005154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.