Provider Demographics
NPI:1376525006
Name:JENSON, BART P (MD)
Entity Type:Individual
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First Name:BART
Middle Name:P
Last Name:JENSON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5880 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8220
Mailing Address - Country:US
Mailing Address - Phone:515-633-3835
Mailing Address - Fax:515-633-3837
Practice Address - Street 1:1215 PLEASANT ST
Practice Address - Street 2:SUITE 414
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1416
Practice Address - Country:US
Practice Address - Phone:515-241-8033
Practice Address - Fax:515-241-8036
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2016-02-19
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Provider Licenses
StateLicense IDTaxonomies
IA26276208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0150458Medicaid
IAI4395Medicare ID - Type Unspecified
IAG05765Medicare UPIN