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DR. SHAYNE RAYMOND JENSEN DPM FACFAS NPI 1134139454


NPI Information

NPI: 1134139454
Provider Name: DR. SHAYNE RAYMOND JENSEN, DPM, FACFAS
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: GULF COAST PODIATRY, PA

PECOS Registration: Yes

Address:
2201 JENKS AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 769-0325
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DR. Shayne Raymond Jensen, DPM, FACFAS is a foot and ankle surgery podiatrist in Panama City, FL with 27 years of experience. DR. Shayne Raymond Jensen, DPM, FACFAS NPI is 1134139454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

2201 JENKS AVE
PANAMA CITY, FL
ZIP 32405-531
Phone: (850) 769-0325
Fax: (850) 769-4476

The NPI 1134139454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Destruction of skin growth (HCPCS:17000)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Destruction of 2-14 skin growths (HCPCS:17003)

The enumeration date for this NPI number is 8/9/2006 and was last updated on 11/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO 2867FLORIDANo
2213E00000XPodiatristPO2867FLORIDANo
3213ES0103XPodiatristFoot & Ankle SurgeryPO2867FLORIDAYes
4213ES0131XPodiatristFoot SurgeryPO2867FLORIDANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165657OTHERFLORIDABLUECROSSBLUESHIEL#
245803OTHERFLORIDABLUECROSSBLUESHIELD GROUP
3480035194OTHERFLORIDARR MEDICARE
4061666115OTHERFLORIDATAX ID
5CK8386OTHERFLORIDARR MEDICARE GROUP

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.