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MALEA A JENSEN DO PLLC NPI 1427300623


NPI Information

NPI: 1427300623
Provider Name: MALEA A JENSEN DO PLLC

Doing Business As: CENTER STAGE PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2053517

Address:
1000 73RD ST STE 23
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 267-1961
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MALEA A JENSEN DO PLLC is a family medicine in West Des Moines, IA. 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. MALEA A JENSEN DO PLLC NPI is 1427300623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center Stage Primary Care.

The provider's business location address is:

1000 73RD ST STE 23
WEST DES MOINES, IA
ZIP 50265-321
Phone: (515) 267-1961
Fax: (515) 225-4427

The provider's authorized official is Malea Ann Jensen .
The authorized official title is President and has the following contact phone number (515) 267-1961.

The CLIA number assigned to this NPI record is 16D2053517 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 3/19/2021.


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 Medicine03029IOWAYes

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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