MEDICARE: DR. RONALD ARMAND JENKINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	05892R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110163225	OTHER	LA	RR MEDICARE PROVIDER NO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5314586	OTHER	LA	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1053312074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD ARMAND JENKINS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 51226
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1226
Country	:	US
Telephone Number	:	337-983-0700
Fax Number	:	337-983-0811

Provider Business Practice Location Address
First Line	:	201 SAINT PATRICK ST STE 101
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4500
Country	:	US
Telephone Number	:	337-983-0700
Fax Number	:	337-983-0811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/15/2026

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Directions to “ DR. RONALD ARMAND JENKINS M.D.” Practice Location

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