DR. JOHN L JENKINS M.D.
NPI 1003818212
Specialist in South Bend, IN

Active since June 01, 2005
621 MEMORIAL DR, STE 502, SOUTH BEND, IN 46601(574) 234-9001(574) 287-5367 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John L Jenkins M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN L JENKINS M.D. (NPI 1003818212) is an individual specialist in South Bend, Indiana, licensed in Indiana (01025732) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003818212
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN L JENKINSCredential: M.D.
Location Address621 MEMORIAL DR, STE 502South Bend, IN 46601-1075
Mailing Address621 Memorial Dr, Ste 502South Bend, IN 46601-1075 · (574) 234-9001 · Fax (574) 287-5367
Fax(574) 287-5367
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateOctober 6, 2010
NPI 1003818212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IN · 01025732
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

621 MEMORIAL DR, South Bend, IN 46601

Other Identifiers 4

Medicare PIN512010AIN
Medicaid100325320AIN
Medicare UPIND95603IN
Medicare PIN727120CIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
621 MEMORIAL DR, SUITE 502
SOUTH BEND, IN 46601
Colon & Rectal Surgery
621 MEMORIAL DR
SOUTH BEND, IN 46601
Internal Medicine (Cardiovascular Disease)
621 MEMORIAL DR, SUITE 608
SOUTH BEND, IN 46601
Obstetrics & Gynecology
621 MEMORIAL DR, SUITE 616
SOUTH BEND, IN 46601
Surgery (Vascular Surgery)
621 MEMORIAL DR
SOUTH BEND, IN 46601
Psychiatry & Neurology (Neurology)
621 MEMORIAL DR, SUITE 624
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR, STE 502
SOUTH BEND, IN 46601
Surgery (Vascular Surgery)
621 MEMORIAL DR
SOUTH BEND, IN 46601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Jenkins's NPI number?

The NPI number for John Jenkins is 1003818212. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is John Jenkins located?

John Jenkins practices at 621 Memorial Dr Ste 502, South Bend, IN 46601. The listed phone number is (574) 234-9001.

What is John Jenkins's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Jenkins was last updated on October 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.