Hey, Find It
Hey, Find NPI

JOHN L JENKINS M.D., NPI 1003818212

Specialist in SOUTH BEND, IN

Last Updated on : Oct 06,2010

About JOHN L JENKINS (NPI 1003818212)


JOHN L JENKINS is a Specialist provider in SOUTH BEND, United States. His medical specialization is Specialist .

1003818212 is NPI number of JOHN L JENKINS.

JOHN L JENKINS's primary taxonomy code based on NPI Lookup is 174400000X with license number 01025732. This taxonomy code refers to Specialist.

JOHN L JENKINS has more than 16 years of experience.

JOHN L JENKINS current practice location address is 621 MEMORIAL DR, SOUTH BEND, IN. JOHN L JENKINS can be reached out via phone at 574-234-9001 and via fax at 574-287-5367 .

You can also correspond with JOHN L JENKINS through mail at mailing address 621 MEMORIAL DR, SOUTH BEND, IN, United States. Mailing address contact number is 574-234-9001.

The enumeration date of JOHN L JENKINS is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.

1003818212 NPI Information

Name JOHN L JENKINS
National Provider Id (NPI) 1003818212
Entity Type Individual
Gender M
Credential M.D.
Practice Address 621 MEMORIAL DR, STE 502
SOUTH BEND, IN, United States
Practice Telephone 574-234-9001
Practice Fax Number 574-287-5367
Mailing Address 621 MEMORIAL DR , STE 502
SOUTH BEND, IN, United States
Mailing Telephone 574-234-9001
Mailing Fax Number 574-287-5367
Enumeration Date 01-Jun-2005
Last Updated Date 06-Oct-2010

JOHN L JENKINS (NPI 1003818212) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 174400000X Specialist 01025732 IN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
100325320A MEDICAID (05) IN
512010A MEDICARE PIN (08) IN
727120C MEDICARE PIN (08) IN
D95603 MEDICARE UPIN (02) IN

JOHN L JENKINS (NPI 1003818212) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1437216587 DAVID WOOD BAXTER Family Medicine 115 E CRIPE ST,
SOUTH BEND, IN, United States
01-Jan-2007
1912328360 ELIZABETH HOWE Physician Assistant, Medical 19567 CLEVELAND RD,
SOUTH BEND, IN, United States
01-Jan-2014
1649337494 TERRILL LEE STOLLER Dentist, General Practice 60420 US 31 S,
SOUTH BEND, IN, United States
02-Jan-2007
1255516837 RACHAEL MARIE HAMMETT Social Worker, Clinical 611 LINCOLN WAY E,
SOUTH BEND, IN, United States
02-Jan-2008
1982934667 LOURDES BAYOT ESPIRITU Physical Therapist, Geriatrics 1828 HASS DR,
SOUTH BEND, IN, United States
02-Jan-2010
1861722548 MICHIANA THERAPY SERVICES INCORPORATED Clinic/Center, Physical Therapy 1828 HASS DR,
SOUTH BEND, IN, United States
02-Jan-2010
1093872236 PATRICIA DIANE HANCOCK Social Worker, Clinical 611 LINCOLNWAY E,
SOUTH BEND, IN, United States
03-Jan-2007
1679620579 MARK R. NEFF Family Medicine 804 LANCASTER DR,
SOUTH BEND, IN, United States
04-Jan-2007
1639226707 CATHERINE MARIE PITTMAN Psychologist, Clinical 108 N MAIN ST, SUITE 305
SOUTH BEND, IN, United States
04-Jan-2007
1295882256 EVERT M VANDERSTOEP Psychiatry & Neurology, Psychiatry 403 E MADISON ST,
SOUTH BEND, IN, United States
04-Jan-2007
1134276967 GOODWILL INDUSTRIES OF MICHIANA, INC. Day Training, Developmentally Disabled Services 1805 W WESTERN AVE, PO BOX 3846
SOUTH BEND, IN, United States
04-Jan-2007
1447435755 SHOTUNUS DENEAN PETERSON Social Worker 108 N MAIN ST, SUITE 305
SOUTH BEND, IN, United States
04-Jan-2008
1972840304 RACHEL ELIZABETH MATHIS Pathology, Anatomic Pathology & Clinical Pathology 530 N LAFAYETTE BLVD,
SOUTH BEND, IN, United States
04-Jan-2013
1851865174 JESSICA S EVANS Nurse Practitioner, Family 52185 BRENDON HILLS DR,
GRANGER, IN, United States
21-Jan-2019
1902042484 INTERBEING, LLC Community/Behavioral Health 211 W WASHINGTON ST, SUITE 1910
SOUTH BEND, IN, United States
05-Jan-2009
1174671952 MADISON CENTER, INC. Clinic/Center, Mental Health (Including Community Mental Health Center) 403 E MADISON ST,
SOUTH BEND, IN, United States
08-Jan-2007
1104974989 MADISON CENTER, INC. Psychiatric Residential Treatment Facility 403 E MADISON ST,
SOUTH BEND, IN, United States
08-Jan-2007
1376691154 MADISON CENTER, INC. Clinic/Center, Mental Health (Including Community Mental Health Center) 403 E MADISON ST,
SOUTH BEND, IN, United States
08-Jan-2007
1093103624 ASHLEY MATHIS Physical Therapist 710 N NILES AVE,
SOUTH BEND, IN, United States
06-Jan-2015
1942698402 CHERYL RIEWE Nurse Practitioner 53800 GENERATIONS DR,
SOUTH BEND, IN, United States
06-Jan-2015

FAQs

Whose NPI Number is 1003818212?

1003818212 is the NPI number of JOHN L JENKINS.

What is the specialty for JOHN L JENKINS?

The Specialty of JOHN L JENKINS is Specialist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Source : The information found on this website is provided "AS IS". It is in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Kindly note that we do not guarantee the accuracy and/or reliability of the contents found on the website.