DR. ROBERT WALTER JENSEN MD JD NPI 1083741961

NPI Information

NPI: 1083741961
Provider Name: DR. ROBERT WALTER JENSEN, MD JD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
820 AINSWORTH DR STE A
PRESCOTT, AZ
ZIP 86301
Phone: (928) 778-0827
Get Directions

DR. Robert Walter Jensen, MD JD is a neurology psychiatry neurology in Prescott, AZ with 35 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Robert Walter Jensen, MD JD NPI is 1083741961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

820 AINSWORTH DR STE A
PRESCOTT, AZ
ZIP 86301-613
Phone: (928) 778-0827
Fax: (928) 778-5622

The NPI 1083741961 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 2/27/2007 and was last updated on 1/27/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		04-35404	KANSAS	No
2	207WX0109X	Ophthalmology	Neuro-ophthalmology	28419	ARIZONA	No
3	207YX0901X	Otolaryngology	Otology & Neurotology	04-35404	KANSAS	No
4	2084N0400X	Psychiatry & Neurology	Neurology	04-35404	KANSAS	No
5	2084P2900X	Psychiatry & Neurology	Pain Medicine	28419	ARIZONA	No
6	2084N0400X	Psychiatry & Neurology	Neurology	2019042323	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	421094	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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