Jody L Jenkins is a Surgery in Sierra Vista, Arizona. Jody L Jenkins practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jody L Jenkins is 1609936533. The last update date is 2008-04-16.
Jody L Jenkins's current location address is 75 Colonia De Salud, Sierra Vista, Arizona. You can contact this provider via phone number 5204520144 and fax number 5204520075. The mailing address for Jody L Jenkins is 75 Colonia De Salud, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody L Jenkins |
|---|---|
| Address | 75 Colonia De Salud, Sierra Vista, Arizona |
| Phone Number | 5204520144 |
| Fax Number | 5204520075 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609936533 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 75 Colonia De Salud |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856352485 |
| Phone Number | 5204520144 |
| Fax Number | 5204520075 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 23558 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5548036 | AZ | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Jody L Jenkins by the Centers for Medicare & Medicaid Services (CMS)?
The Jody L Jenkins has been assigned the NPI (National Provider Identifier) 1609936533. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jody L Jenkins's facilities are geographically located?
The facilities of Jody L Jenkins are physically situated at the following location: 75 Colonia De Salud, Sierra Vista, AZ, 856352485.
What is Jody L Jenkins's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jody L Jenkins is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609936533 to Jody L Jenkins?
The Centers for Medicare & Medicaid Services originally issued the 1609936533 to Jody L Jenkins on 2006-12-11.
As of what date was the information regarding Jody L Jenkins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jody L Jenkins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-16.