DR. SUSAN RAE JENSEN MD NPI 1134115983

NPI Information

NPI: 1134115983
Provider Name: DR. SUSAN RAE JENSEN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1400 E BOULDER ST
STE 700
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 635-7172
Get Directions

DR. Susan Rae Jensen, MD is a cardiovascular disease internal medicine in Colorado Springs, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Susan Rae Jensen, MD NPI is 1134115983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 E BOULDER ST
STE 700
COLORADO SPRINGS, CO
ZIP 80909-533
Phone: (719) 635-7172
Fax: (719) 444-3759

The enumeration date for this NPI number is 9/26/2005 and was last updated on 8/21/2013.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	23755	COLORADO	Yes

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
1	01237661	MEDICAID	COLORADO
2	COA109843	MEDICARE PIN	COLORADO
3	D24320	MEDICARE UPIN	COLORADO
4	259528	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
5	CC5654	MEDICARE PIN	COLORADO

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: 4/28/2024

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