DR. JORDAN HASKINS (NPI# 1083024087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083024087 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HASKINS |
| Credential | D.O. |
| Practice Address |
2525 Glenn Hendren Dr Liberty MO 64068-9625 |
| Mailing Address |
Po Box 219672 Kansas City MO 64121-9672 |
| Practice Telephone | 8167817200 |
| Mailing Telephone | 8164074200 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2017025862 | MO | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 2017025862 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 57646028 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2345 Southwest Blvd, Tulsa, OK 741072705 | 9185821980 | 9185611289 |
| 19600 E 39th St S, Independence, MO 640572301 | 8166987000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114300902 | Jordan Haskins | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2015-06-30 |
| Street Address |
2525 GLENN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265945 | Tyron A Townsend | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-06-14 |
| 1841811759 | Sharla Sue Leon | Speech-Language Pathologist | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2020-05-01 |
| 1437793924 | Jordan Colyer | Registered Nurse | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 | 2019-10-29 |
| 1922667054 | Abdulrahman B Derbas | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2019-06-12 |
| 1568940880 | William Jackson Redmond | Specialist/Technologist | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 | 2018-07-30 |
| 1336646736 | Liberty Hospital Emergency Medicine Physicians, LLC | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2018-04-11 |
| 1235673872 | Deer Valley Emergency Physicians LLC | Physician Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-12-16 |
| 1760925002 | Kelsey Koehler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-11-18 |
| 1679926455 | Michael Scott Beeler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Anesthetic Dept, Liberty, MO 64068-9625 | 2016-07-18 |
| 1013369727 | Laura M Lee | Nurse Anesthetist, Certified Registered | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593267 | Sonica Saini | Internal Medicine | 2521 Glenn Hendren Dr Ste 402, Liberty, MO 64068-3388 | 2007-05-03 |
| 1801978259 | Robert J Boulware | Internal Medicine | 1131 W Kansas St, Liberty, MO 64068-2281 | 2006-10-19 |
| 1114945532 | Danny Kyaw Khine | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2006-07-17 |
| 1467422253 | Housam I Haddad | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-01-24 |
| 1568827806 | Astros Healthcare LLC | Internal Medicine | 723 Main St, Liberty, TX 77575-4813 | 2015-12-30 |
| 1154717056 | Kyle Reed | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068 | 2015-04-08 |
| 1023360690 | New Liberty Hospital Corporation | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2012-10-08 |
| 1285909788 | Housam I Haddad Medical Practice, Pllc | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2012-03-15 |
| 1043500275 | Heather Elaine Doss | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2011-04-08 |
| 1922328335 | Israel Tegegne Haile | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2010-06-08 |
| Find all providers in LIBERTY | ||||
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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.