JORDAN WALSH (NPI# 1043790918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043790918 |
| Entity Type | Individual |
| Full Name | JORDAN WALSH |
| Credential | DC |
| Practice Address |
1212 N Highway 377 Ste 119 Roanoke TX 76262-6916 |
| Practice Telephone | 6828311591 |
| Mailing Telephone | 6828311591 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13541 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989903 | Jordan Walsh | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-22 |
| 1477118321 | Jordan Walsh | Social Worker | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-07 |
| Street Address |
1212 N HIGHWAY 377 STE 119 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058169 | Aminidhan D Thakkar | Emergency Medicine | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2006-01-19 |
| 1154666758 | First Family Care, Pllc | Family Medicine | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718285 | Meng Sun | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| 1194157099 | Jenna Denise Beck | Chiropractor | 100 Country View Dr Ste 300, Roanoke, TX 76262-2054 | 2013-08-01 |
| 1710239298 | Barry Eugene Simpson | Chiropractor | 500 N Highway 377, Suite E., Roanoke, TX 76262-7100 | 2012-10-09 |
| 1972862761 | Connections Achievement and Therapy Center, Corp. | Chiropractor | 5430 Peters Creek Rd, Suite 108, Roanoke, VA 24019-3892 | 2012-05-14 |
| 1376815597 | Collective Chiropractic and Rehab Inc | Chiropractor | 509 E Byron Nelson Blvd Ste A, Roanoke, TX 76262-6183 | 2012-02-03 |
| 1720362809 | Timothy R Willson | Chiropractor | 4118c Franklin Rd Sw, Roanoke, VA 24014-5266 | 2011-10-06 |
| 1740575711 | Core Chiropractic and Wellness Center, Inc. | Chiropractor | 16 W Church Ave, Roanoke, VA 24011-2002 | 2011-06-17 |
| 1982936894 | Mark Mandell | Chiropractor | 6200 Sandhurst Dr, Roanoke, VA 24018-7701 | 2010-02-02 |
| 1770745143 | Craig Camidge | Chiropractor | 3538 Electric Rd, Roanoke, VA 24018-4453 | 2008-06-27 |
| 1982865747 | Sean Patrick Skinner | Chiropractor | 6206 Peters Creek Rd, Roanoke, VA 24019-4026 | 2008-06-24 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on JORDAN WALSH.
| 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.