PHILIP D. JENSEN M.D. – NPI #1134114713
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

PHILIP JENSEN is a physician located in BOISE, ID. NPPES has assigned the NPI number 1134114713 to PHILIP JENSEN on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 7 years ago on Jul 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILIP JENSEN below.

NPI Profile for
PHILIP D. JENSEN

NPI Number
1134114713
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILIP D. JENSEN
Credentials
M.D.
Primary location
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone: (208) 343-6458 Fax: (208) 343-5031
3 Other location(s):
2235 E Gala St
Meridian, ID 83642-8026
Phone: (208) 887-3724
Fax: (208) 887-1682
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone: (208) 343-6458
Fax: (208) 343-5031
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone: (208) 343-6458
Fax: (208) 343-5031
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for PHILIP JENSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREIDP00256600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 ID M-8875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Boise
Endpoint type
Other URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
425 W BANNOCK ST,
BOISE, ID 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
PHILIP JENSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKE'S ELMORE MEDICAL CENTER
      895 NORTH 6TH EAST
      MOUNTAIN HOME, ID 83647
    • ST LUKE'S NAMPA MEDICAL CENTER
      9850 WEST ST LUKES DRIVE
      NAMPA, ID 83687
    • ST LUKE'S REGIONAL MEDICAL CENTER
      190 EAST BANNOCK STREET
      BOISE, ID 83712

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.