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DR. MARK A JENSEN M.D. NPI 1093715062


NPI Information

NPI: 1093715062
Provider Name: DR. MARK A JENSEN, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
2217 DUBOIS DR
WARSAW, IN
ZIP 46580
Phone: (574) 267-8940
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DR. Mark A Jensen, M.D. is a surgery in Warsaw, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Mark A Jensen, M.D. NPI is 1093715062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2217 DUBOIS DR
WARSAW, IN
ZIP 46580-212
Phone: (574) 267-8940
Fax: (574) 267-5782

The enumeration date for this NPI number is 7/29/2005 and was last updated on 8/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist01033577INDIANANo
2208600000XSurgery01033577INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100157230AMEDICAIDINDIANA
2C25008MEDICARE UPININDIANA
3262490GMEDICARE PININDIANA
4453220VMEDICARE PIN
5452000MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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