Organization Active NPI

Joshua E Jensen II MD LLC

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1699964536
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36330 Issued in MO
Legal business name
JOSHUA E JENSEN II MD LLC
Practice address
11155 Dunn Rd
Ste 205 N
St Louis, MO 63136
Phone
(314) 355-0700
Fax
(314) 355-0705
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Joshua E Jensen II, MDNPI 1952373425
Title
General Surgeon
Phone
(314) 355-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 36330 MO Primary

Addresses

Primary practice location

11155 Dunn Rd
Ste 205 N
St Louis, MO 63136

Mailing address

11155 Dunn Rd
Ste 205 N
St Louis, MO 63136
Phone (314) 355-0700

National Provider Directory

National Provider Directory

Locations

11125 Dunn Rd
Ste 205
Saint Louis, MO 63136
Phone (314) 355-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1699964536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 205 N",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-355-0700",
            "fax_number": "314-355-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 205 N",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-355-0700",
            "fax_number": "314-355-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA E JENSEN II MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "314-355-0700",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "36330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.