Ray E Jensen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00030299 Issued in WA

Practice address

128 Lilly Rd NE
Suite 202
Olympia, WA 98506-5029

Phone

(360) 357-6314

Fax

(360) 705-3745

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ear Nose and Throat Associates PLLC

  • Otolaryngology Physician
  • Olympia, WA
  • NPI 1023767274
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972612695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065029",
            "telephone_number": "360-357-6314",
            "fax_number": "360-705-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065029",
            "telephone_number": "360-357-6314",
            "fax_number": "360-705-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "RAY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00030299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasia Jennings, CBT
• Cortney Nicole Jensen, CDPT
• Frederick A. Jensen, M.D.
• Gay M. Jensen, RDH
• Laralei H Jensen, LMP
• Rhonda Jensen
• Katherine Lindsay Jerke, RDN
• Lisa Jerkins, LPN
• Leslie A Jette, MD
• Hannah Lorena Jewel

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.