JORDAN PAUL WOOD (NPI# 1063884880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063884880 |
| Entity Type | Individual |
| Full Name | JORDAN PAUL WOOD |
| Credential | AGACNP |
| Practice Address |
8220 Walnut Hill Ln Suite 408 Dallas TX 75231-4427 |
| Mailing Address |
615 E Boydstun Ave Rockwall TX 75087-3958 |
| Practice Telephone | 2143619777 |
| Practice Fax Number | 2148910084 |
| Mailing Telephone | 9729748139 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP129292 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891144416 | Jordan R Wood | Pharmacist | 1700 E Nc Highway 54, Durham, NC 27713-2107 | 2016-06-04 |
| 1639690126 | Jordan Lee Wood | Nurse Practitioner | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2017-07-05 |
| 1548619406 | Jordan Wood | Family Medicine | 305 W Jackson St, Carbondale, IL 62901-1474 | 2016-06-10 |
| 1508215807 | Jordan Wood | Physical Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-07 |
| 1245301845 | Jordan A. Wood | Counselor | 859 Willard St, Ste 430, Quincy, MA 02169-7482 | 2006-11-13 |
| Street Address |
8220 WALNUT HILL LN SUITE 408 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279027 | North Texas Pain Management | Specialist | 8220 Walnut Hill Ln, 202 Lb#98, Dallas, TX 75231-4427 | 2005-07-19 |
| 1104340694 | Christian Timothy Le | Physician Assistant | 8220 Walnut Hill Ln, Dallas, TX 75231-4427 | 2017-07-27 |
| 1073973426 | Lema Dohmanju | Registered Nurse | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2016-02-27 |
| 1023435575 | Fadi C Constantine, M.d. P.a | Plastic Surgery | 8220 Walnut Hill Ln, Suite 206, Dallas, TX 75231-4427 | 2014-03-22 |
| 1568715514 | Charity C Mugadza | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2012-10-16 |
| 1437405776 | Cori E. Grantham, M.d., P.a. | Specialist | 8220 Walnut Hill Ln, 310, Dallas, TX 75231-4427 | 2012-07-24 |
| 1326302233 | Dallas Comprehensive Medical Care, Pllc | Internal Medicine | 8220 Walnut Hill Ln, Suite 314, Dallas, TX 75231-4427 | 2012-06-26 |
| 1629344833 | Jeffery Keith Krueger M D P A | Surgery | 8220 Walnut Hill Ln, Ste. 206, Dallas, TX 75231-4427 | 2012-04-02 |
| 1154611044 | Irwin S. Korngut Mdpa | Internal Medicine | 8220 Walnut Hill Ln, Suite 110, Dallas, TX 75231-4427 | 2011-04-12 |
| 1831409804 | Nancy Elizabeth Nagel | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| Find all providers in DALLAS | ||||
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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.