Warren C Jensen, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

4878 Issued in ND

Practice address

McCannel Hall, Room 100
2891 2ND Avenue N., Stop 9038
Grand Forks, ND 58202-9038

Phone

(701) 777-4500

Fax

(701) 777-4835

NPI assigned

Sep 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770686628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL, ROOM 100",
            "address_2": "2891 2ND AVENUE N., STOP 9038",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029038",
            "telephone_number": "701-777-4500",
            "fax_number": "701-777-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL, ROOM 100",
            "address_2": "2891 2ND AVENUE N., STOP 9038",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029038",
            "telephone_number": "701-777-4500",
            "fax_number": "701-777-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "WARREN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "ND",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14292",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joy Jenkins
• Susan Helena Jeno, PT, PHD
• Heidi Kay Jensen, PH.D.
• Jaclyn M Jensen, D.D.S.
• Stacy Jill Jensen, OTR/L CHT
• Michelle Diane Jenson, ATC PTA
• Heidi Ann Jess, MD
• Fnu Joel Jacob
• Lindsey Johanning, PMHNP-BC
• Aaron A Johnsen, LPCC

• Aerospace Medicine Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Aerospace Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.