Derek Jenkins M.D. Orthopedist in East Providence RI

Derek Jenkins M.D. is an orthopedic with a current address of 1 Kettle Point Ave  East Providence RI 2914-5375. The NPI is 1669613907, and the license number is 106300 (MN). It was issued on 03/17/2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on december 2, 2019.

Derek Jenkins M.D. can be reached by phone at 4014539032, by mail at Po Box 1119 Providence RI 2901-1119, or by fax at 4018615812.

 

Name: Derek Jenkins M.D.

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: Yes

Gender: Male

 

Practice Location Address:

1 Kettle Point Ave

East Providence

RI 2914-5375

Telephone Number: 4014539032

Fax Number: 4018615812

 

Mailing Address:

Po Box 1119

Providence

RI 2901-1119

Telephone Number: 4014539032

Fax Number: 4018615812

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

 

NPI Number: 1669613907

Enumeration Date: 03/17/2009

Last Update: december 2, 2019

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

 

Primary Taxonomy Code: 207X00000X

License Number: 106300

License State: MN

Other Taxonomy (if any):

207X00000X

55660

MN

N

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: ENROLLED

Code Type: 5

Identifier State: MN

Identifier Issuer:

 

Other Identifiers (if any):

ENROLLED

5

IA