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RICHARD ALLAN JENSEN MD NPI 1699728022


NPI Information

NPI: 1699728022
Provider Name: RICHARD ALLAN JENSEN, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Organization: PROVIDENCE HEALTH AND SERVICES WASHINGTON

PECOS Registration: Yes

Address:
101 W 8TH AVE
SUITE 4300
SPOKANE, WA
ZIP 99204
Phone: (509) 747-6707
Get Directions

Richard Allan Jensen, MD is a pediatric cardiology pediatrics in Spokane, WA with 37 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Richard Allan Jensen, MD NPI is 1699728022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

101 W 8TH AVE
SUITE 4300
SPOKANE, WA
ZIP 99204-307
Phone: (509) 747-6707
Fax: (509) 624-9186

The NPI 1699728022 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), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/2/2021.


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
12080P0202XPediatricsPediatric CardiologyMD00042494WASHINGTONYes
22080P0202XPediatricsPediatric CardiologyM-9469IDAHONo

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
10149736MEDICAIDMONTANA
2806634500MEDICAIDIDAHO
38357667MEDICAIDWASHINGTON
42277230MEDICAIDOREGON

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

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.