Shannon Jenkins
DO | Pediatric Neonatal-Perinatal Medicine | Male
Shannon Jenkins, DO is a Idaho Falls, Idaho based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Shannon Jenkins is
2860 Channing Way, Suite 100, Idaho Falls, Idaho - 83404-7531. He can be contacted on phone at
208-535-4575 and fax number 208-535-4569.
Shannon Jenkins is a sole proprietor of his business.
NPI number (Unique professional ID) for Shannon Jenkins is
1023083680 which was assigned by NPPES on 17 Feb, 2006 and it was last updated on 23 Dec, 2008.
Shannon Jenkins license number is
O0424 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Idaho.
Shannon Jenkins is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Shannon Jenkins basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Shannon Jenkins |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Shannon 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 : | 2860 Channing Way, Suite 100
Idaho Falls, ID, 83404-7531
United States |
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| Phone Number : | 208-535-4575 |
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| Fax Number : | 208-535-4569 |
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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 : | 1023083680 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Feb, 2006 |
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| Last Updated On : | 23 Dec, 2008 |
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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 Shannon Jenkins are as mentioned. Primary taxonomy code for Shannon Jenkins, DO is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 3863 | AZ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | O0424 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Jenkins such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 121542600 | MEDICAID | ID | |
| 0117377 | MEDICAID | MT | |
| 121542600 | MEDICAID | WY | |
| 1285786046 | MEDICAID | WY | |
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 : | 2860 Channing Way, Suite 100
Idaho Falls, ID, 83404-7531
United States |
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| Phone Number : | 208-535-4575 |
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| Fax Number : | 208-535-4569 |
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Business Location:
Patients can refer following map for directions to
Shannon 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.