Provider Demographics
NPI:1770578239
Name:JANSEN, FRANCIS CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:CHARLES
Last Name:JANSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1531 E BRADFORD PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6566
Mailing Address - Country:US
Mailing Address - Phone:417-887-3900
Mailing Address - Fax:417-887-3221
Practice Address - Street 1:1531 E BRADFORD PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6566
Practice Address - Country:US
Practice Address - Phone:417-887-3900
Practice Address - Fax:417-887-3221
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR3L79207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO188124OtherHEALTHLINK
MO180043523OtherRAILROAD MEDICARE PIN
MOCJ4613OtherMEDICARE RAILROAD GROUP
MO508027802OtherMEDICAID GROUP
MO180043525OtherRAILROAD MEDICARE PIN
MO202812814Medicaid
MOCJ4614OtherRAILROAD MEDICARE GROUP R
MO0802225OtherUHC
MO20896OtherBCBS
MO5513643OtherCIGNA
MO180043525Medicare PIN
MO001013492Medicare PIN
MOCJ4613OtherMEDICARE RAILROAD GROUP
MO0802225OtherUHC
MO180043523OtherRAILROAD MEDICARE PIN
MO180043523Medicare PIN