Dr. Shayne Raymond Jensen
Podiatrist Foot Surgery Foot & Ankle Surgery
2201 Jenks Ave
Panama City
, Florida 32405-4531
Dr. Shayne Raymond Jensen
Podiatrist Foot Surgery Foot & Ankle Surgery
2201 Jenks Ave
Panama City
, Florida 32405-4531
(850) 769-4476
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Shayne Raymond Jensen
- 2507 Harrison Ave Unit 201
- Panama City, FL
- Zip : 32405-4447
- Fax : (850) 769-4476
- Phone : (850) 769-0325
Second Address
- Dr. Shayne Raymond Jensen
- 2201 Jenks Ave
- Panama City, FL
- Zip : 32405-4531
- Fax : (850) 769-4476
- Phone : (850) 769-0325
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO 2867 | FL |
| N | 222Z00000X | Podiatrist | PO 2867 | FL |
| N | 213E00000X | Podiatrist | PO2867 | FL |
| N | 222Z00000X | Podiatrist | PO2867 | FL |
| Y | 213ES0103X | Foot & Ankle Surgery | PO2867 | FL |
| N | 213ES0131X | Foot Surgery | PO2867 | FL |
National Provider Identifier
| NPI | 1134139454 |
|---|---|
| Provider Name | Dr. Shayne Raymond Jensen |
| First Address | Panama City, FL 32405-4447 |
| Second Address | Panama City, FL 32405-4531 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 18/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 061666115 | TAX ID (01) | FL |
| 45803 | BLUECROSSBLUESHIELD GROUP (01) | FL |
| 480035194 | RR MEDICARE (01) | FL |
| 65657 | BLUECROSSBLUESHIEL# (01) | FL |
| CK8386 | RR MEDICARE GROUP (01) | FL |
| U81448 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.