# CRAIG R JENSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811092216
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 84-172383-1205 | UT | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107005209101 | IHC | UT |
| 01 | — | 11228 | DESERET MUTUAL | UT |
| 01 | — | 1502954 | UMWA | UT |
| 01 | — | 2090168 | UNITED HEALTHCARE | UT |
| 01 | — | 37794 | PEHP | UT |
| 01 | — | 546180 | HEALTHY U | UT |
| 05 | — | 820896 | — | AZ |
| 01 | — | 8597445 | WORKERS COMP | UT |
| 01 | — | 870545614JE1 | EDUCATORS MUTUAL | UT |
| 01 | — | PRA02721 | MOLINA | UT |
| 01 | — | QM0000075886 | ALTIUS | UT |