DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALEXANDER NICHOLAS JENIK PA-C

MEDICARE: ALEXANDER NICHOLAS JENIK PA-C
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
1363AM0700XMedical Physician AssistantPA.0005988CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11163223OTHERNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
2PA.0005988OTHERCOSTATE MEDICAL LICENSE NUMBER

General Provider Information

NPI Number : 1891338646
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER NICHOLAS JENIK PA-C
Provider Business Mailing Address
First Line : 1510 BISON RIDGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1541
Country : US
Telephone Number : 719-271-7193
Fax Number :
Provider Business Practice Location Address
First Line : 2322 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2406
Country : US
Telephone Number : 719-390-1727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 10/24/2019

Similar Medicare Providers

1083621429 — DR. SUZANNE M MALIS MD
Practice Location Address:
2322 S ACADEMY BLVD
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 719-390-1727
Practice Fax: 719-390-9690
1861518110 — BRADLEY T METTS P.T.
Practice Location Address:
2322 S ACADEMY BLVD
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 615-778-4066
Practice Fax:
1144340498 — RYAN K STALLINGS MD
Practice Location Address:
2322 S ACADEMY BLVD
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 719-390-1727
Practice Fax: 719-390-9690
1790974608 — AMERICAN CURRENT CARE PA PC
Practice Location Address:
2322 SOUTH ACADEMY BLVD.
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 719-390-1727
Practice Fax: 719-390-9690
1770728867 — DR. KYLE MATTHEW VOLKERT DPT
Practice Location Address:
2322 S ACADEMY BLVD
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 719-390-1727
Practice Fax:
1801405899 — WILLIAM PAUL BIRCH
Practice Location Address:
2322 S ACADEMY BLVD
COLORADO SPRINGS, CO
80916-2406
Practice Phone: 719-390-1727
Practice Fax:

Directions to “ ALEXANDER NICHOLAS JENIK PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.