ERIC L JORDAN (NPI# 1003974254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003974254 |
| Entity Type | Individual |
| Full Name | ERIC L JORDAN |
| Credential | C.PED |
| Practice Address |
399 West Louis Henna Blvd Suite A Austin TX 78728 |
| Practice Telephone | 5122449780 |
| Practice Fax Number | 5122449936 |
| Mailing Telephone | 5122449780 |
| Mailing Fax Number | 5122449936 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32011479873 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790132835 | Eric T Jordan | Internal Medicine | 15 York St, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06510-3221 | 2016-05-18 |
| 1649609793 | Eric A Jordan | Physician Assistant | 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | 2013-11-08 |
| 1861768863 | Eric Jiah-ming Jordan | Radiology | 2425 Geary Blvd, M160, San Francisco, CA 94115-3358 | 2012-03-24 |
| 1285954693 | Eric C Jordan | Counselor | 13741 Foothill Blvd Ste 240, Sylmar, CA 91342-3152 | 2010-06-08 |
| 1134441454 | Eric Richard Jordan | Pharmacist | 2 Center St, Cuba, NY 14727-1002 | 2010-03-01 |
| 1831129295 | Eric Jordan | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-07-03 |
| Street Address |
399 WEST LOUIS HENNA BLVD SUITE A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783170 | Rachel Hilliard | Occupational Therapist | 13915 Mopac Service Rd. #200, Austin, TX 78728 | 2020-05-29 |
| 1104460294 | Austin Chase Smith | Physical Therapy Assistant | 13915 Mopac Service Rd, #200, Austin, TX 78728 | 2019-10-31 |
| 1982198370 | Rosaura Barruetaramos | Technician | 13915 Burnett Rd, Ste 303, Austin, TX 78728 | 2018-06-19 |
| 1366957854 | Rp Dental PC | Clinic/Center | 16009 Fm 1325, Suite 200, Austin, TX 78728 | 2017-12-06 |
| 1649783648 | Matthew Nelson | Occupational Therapy Assistant | 13915 North Mopac Expressway, Suite 200, Austin, TX 78728 | 2017-11-13 |
| 1811360373 | Guadalupe Zamora Md | Clinic/Center | 1779 Well Branch Pwky Number 110b-323, Austin, TX 78728 | 2015-11-05 |
| 1285005033 | Unique Spa and Health Center | Clinic/Center | 1779 Wells Branch Pwky, Number 110b-323, Austin, TX 78728 | 2015-10-19 |
| 1356663694 | Audra K. Reid | Physical Therapy Assistant | 13915 Mopac Expressway, Austin, TX 78728 | 2010-02-26 |
| 1699951889 | Sandra Ellen Stjohn | Registered Nurse | 14459 Robert I. Walker, Austin, TX 78728 | 2008-01-17 |
| 1033307749 | Joe Valdez | Contractor | 1779 Wells Branch Pkwy #110 B - Pmb 363, Austin, TX 78728 | 2007-10-09 |
| Find all providers in zip 78728 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.