Provider Demographics
NPI:1447575295
Name:JENSEN, THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:JENSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 E 17TH AVE
Mailing Address - Street 2:MAIL STOP: 8106
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2530
Mailing Address - Country:US
Mailing Address - Phone:303-724-3927
Mailing Address - Fax:
Practice Address - Street 1:12801 E 17TH AVE
Practice Address - Street 2:MAIL STOP: 8106
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2530
Practice Address - Country:US
Practice Address - Phone:303-724-3927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0052546207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism