| Shannon Jenkins, DO | |
|
2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 | |
| (208) 535-4575 | |
| (208) 535-4569 |
| Full Name | Shannon Jenkins |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 2860 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083680 | NPI | - | NPPES |
| 0117377 | Medicaid | MT | |
| 121542600 | Medicaid | WY | |
| 121542600 | Medicaid | ID | |
| 1285786046 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 3863 (Arizona) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | O0424 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Jenkins, DO 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 Ph: (208) 535-4575 | Shannon Jenkins, DO 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 Ph: (208) 535-4575 |
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 | |
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500 | |
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939 |