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ROGER CAIN JENKINS MD NPI 1275506461


NPI Information

NPI: 1275506461
Provider Name: ROGER CAIN JENKINS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
172 E MERRITT ST STE C
PRESCOTT, AZ
ZIP 86301
Phone: (928) 717-0077
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Roger Cain Jenkins, MD is a family medicine in Prescott, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Roger Cain Jenkins, MD NPI is 1275506461. 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:

172 E MERRITT ST STE C
PRESCOTT, AZ
ZIP 86301-027
Phone: (928) 717-0077
Fax: (928) 717-0141

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/19/2010.


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
1207Q00000XFamily Medicine34543ARIZONAYes

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
1A44464MEDICARE UPIN
2986721MEDICAIDARIZONA
3107132MEDICARE ID-TYPE UNSPECIFIED

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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