Provider Type Icon

ERIC RICHARD JENSEN MD NPI 1700818697


NPI Information

NPI: 1700818697
Provider Name: ERIC RICHARD JENSEN, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
2825 E. BARNETT RD
MEDFORD, OR
ZIP 97504
Phone: (541) 789-7000
Get Directions

Eric Richard Jensen, MD is an emergency medical services emergency medicine in Medford, OR with 25 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Eric Richard Jensen, MD NPI is 1700818697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2825 E. BARNETT RD
MEDFORD, OR
ZIP 97504-332
Phone: (541) 789-7000

The NPI 1700818697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/28/2009.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesMD23858OREGONYes

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
1H35590MEDICARE UPINOREGON
2H35590MEDICARE UPIN
3139346MEDICARE PINOREGON
4114253MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE
5286331MEDICAIDOREGON

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.