Jonathan Terry Jenkins, MD
Individual provider Active NPI Family Medicine Physician · Hyde Park, UT
NPI 1760745475 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1760745475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5525757-1205 (UT)
- Practice address
- 4088 N Highway 91
Hyde Park, UT 84318 - Phone
- (435) 563-4888
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
412 N 200
Logan, UT 84321-4038
Phone (435) 713-2710
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706002595 | UT | Practitioner - Family Practice | 4183855190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5525757-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4088 N Highway 91
Hyde Park, UT 84318
Phone (435) 563-4888
412 N 200 E
Logan, UT 84321
Phone (435) 713-2710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5525757-1205 | UT | Yes |
Addresses
Primary practice location
4088 N Highway 91
Hyde Park, UT 84318
Mailing address
PO Box 27128
SLC, UT 84127-0128
Other practice location 1
4009 Orchard Dr
Midland, MI 48640-6122
Phone (989) 839-3515
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.jenkins@direct.imail.org |
Other providers in Hyde Park, UT
- Dnell B Howard
- Hyde Park Fitness
- Ihc Health Services Inc
- Ihc Health Services Inc
- Nelson Jaco
- Julia Christensen Justis
- April Lee Larkin
- Leanne Loscher Therapy
- Leanne Marie Loscher
- Manwaring Chiropractic
All providers in Hyde Park, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.