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SUSAN E JENKINS, M.D.P.A.
NPI 1750696779
Obstetrics & Gynecology - Gynecology in Largo, MD

Active since August 13, 2010CLIA 21D0696354 · Microscopy
1450 MERCANTILE LN, SUITE 117, LARGO, MD 20774(301) 583-0500 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan E Jenkins, M.d.p.a. NPPES

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

SUSAN E JENKINS, M.D.P.A. (NPI 1750696779) is a healthcare organization registered as a gynecology in Largo, Maryland and active in the NPI registry since August 2010. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Susan Eileen Jenkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1750696779
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameSUSAN E JENKINS, M.D.P.A.
Location Address1450 MERCANTILE LN, SUITE 117Largo, MD 20774-5376
Mailing Address1450 Mercantile Ln, Suite 117Largo, MD 20774-5376 · (301) 583-0500
Phone(301) 583-0500
Organization SubpartNo
Authorized OfficialSusan Eileen JenkinsOwner · (240) 460-6044
Enumeration DateAugust 13, 2010
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1750696779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MD · D0038258
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1450 MERCANTILE LN, Largo, MD 20774
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIN700269
Medicare PINF07985
Other1942299417Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0696354

Susan Jenkins MD PA · Largo, MD
Active · expires Aug 31, 2026
CLIA Number21D0696354
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSusan E. Jenkins
Laboratory Phone(301) 249-0060
Laboratory LocationSusan Jenkins MD PA1450 Mercantile Lane Sutte 117, Largo, MD 20774
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

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

DR. DOREEN BLAKE M.D.
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
MR. JATIN R MATTA PA-C, MPAS
Physician Assistant
1450 MERCANTILE LN, SUITE 217
LARGO, MD 20774
Prince George's County (301) 583-7770
LUMINIS HEALTH MEDICAL GROUP, LLC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
HOLISTIC HEALTH AND WELLNESS MEDICAL SPA
Nurse Practitioner (Acute Care)
1450 MERCANTILE LN, SUITE 221
LARGO, MD 20774
Prince George's County (240) 280-6267
DR. ADEMUYIWA ADEKOLA ADETUNJI DPM
Podiatrist (Primary Podiatric Medicine)
1450 MERCANTILE LN, STE 151
UPPER MARLBORO, MD 20774
Prince George's County (301) 386-5453
HOLISTIC HEALTH & WELLNESS MEDICAL SPA
Pain Medicine (Pain Medicine)
1450 MERCANTILE LN, 221
LARGO, MD 20774
Prince George's County (301) 772-1500
DR. LISA VALDENE THOMPSON DDS
Dentist (General Practice)
1450 MERCANTILE LN, SUITE 207A
LARGO, MD 20774
Prince George's County (240) 455-7484
BLAKE & SLOAN PC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610

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 Susan E Jenkins, M.D.P.A.'s NPI number?

The NPI number for Susan E Jenkins, M.D.P.A. is 1750696779. It was assigned to this organization in the NPPES registry on August 13, 2010.

Where is Susan E Jenkins, M.D.P.A. located?

Susan E Jenkins, M.D.P.A. is located at 1450 Mercantile Ln Suite 117, Largo, MD 20774. The listed phone number is (301) 583-0500.

What is Susan E Jenkins, M.D.P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Susan E Jenkins, M.D.P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0696354) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan E Jenkins, M.D.P.A. was last updated on September 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.