Dr. Randall D. Jenkins
MD | Pediatric Nephrology | Male
Dr. Randall D. Jenkins, MD is a Boise, Idaho based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Randall D. Jenkins is
100 E Idaho St, Suite 304, Boise, Idaho - 83712. He can be contacted on phone at
208-381-7336 and fax number 208-381-7029.
Dr. Randall D. Jenkins is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Randall D. Jenkins is
1619934213 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 29 Jan, 2016.
Dr. Randall D. Jenkins license number is
M-6953 for Pediatrics Pediatric Nephrology (2080P0210X) in Idaho.
Dr. Randall D. Jenkins deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Randall D. Jenkins basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
|---|
| Provider Name : | Dr. Randall D. Jenkins |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Randall D. Jenkins address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 E Idaho St, Suite 304
Boise, ID, 83712
United States |
|---|
| Phone Number : | 208-381-7336 |
|---|
| Fax Number : | 208-381-7029 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619934213 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 Apr, 2006 |
|---|
| Last Updated On : | 29 Jan, 2016 |
|---|
Medicare Participation:
Dr. Randall D. Jenkins participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0941370472 |
|---|
| Medicare Enrollment ID : | I20080610000246 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Wright State University Boonshoft School Of Medicine |
|---|
| Graduation Year : | 1980 |
|---|
| Accepts Medicare? | Yes. Dr. Randall D. Jenkins accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Randall D. Jenkins is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Randall D. Jenkins is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 608 W Hays St
Boise, ID - 837025511
Ph: 2083815970 | Yes |
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 610 W Hays St
Boise, ID - 837025511 | Yes |
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 305 E Jefferson St
Boise, ID - 837126231
Ph: 2083450715 | Yes |
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 100 E Bannock St
Boise, ID - 837126241
Ph: 2083812983 | Yes |
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 190 E Bannock St
Boise, ID - 837126241
Ph: 2083819384 | Yes |
| Oregon Health And Sciences University/university Medical Group | 4880760107 | 1435 | 3181 Sw Sam Jackson Park Rd
Portland, OR - 972393011
Ph: 5034948311 | Yes |
| Oregon Health And Sciences University/university Medical Group | 4880760107 | 1435 | 691 Murphy Rd
Suite 200
Medford, OR - 975044311
Ph: 5416084900 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randall D. Jenkins are as mentioned. Primary taxonomy code for Dr. Randall D. Jenkins, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0210X | Pediatrics Pediatric Nephrology | No | 12771 | OR |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | M-6953 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Randall D. Jenkins such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| XPY 190107 | MEDICAID | CA | |
| 00340150 | MEDICAID | ID | |
| 270819 | MEDICAID | OR | |
| MD7720R | MEDICAID | AL | |
| 8518003 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 190 E Bannock St
Boise, ID, 83712-6241
United States |
|---|
| Phone Number : | 208-706-8449 |
|---|
| Fax Number : | 208-381-7029 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Randall D. Jenkins practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.