DR. JULIE JORDAN (NPI# 1104852201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104852201 |
| Entity Type | Individual |
| Full Name | DR. JULIE JORDAN |
| Other Name | JULIE CHOI |
| Credential | MD |
| Practice Address |
2900 Chancellor Dr Crestview Hills KY 41017-5427 |
| Practice Telephone | 8593410288 |
| Practice Fax Number | 8593632140 |
| Mailing Telephone | 8593410288 |
| Mailing Fax Number | 8593632140 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 38969 | KY | Other Service Providers |
| Y | 207R00000X | Internal Medicine | 38969 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000360586 | 01 | |
| US DEPT OF LABOR | 310674100 | 01 | |
| OH | CARESOURCE | 610677107043 | 01 |
| KY | 64100241 | 05 | |
| AETNA | 7000160 | 01 | |
| FEDERAL BLACK LUNG | 310674100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275716888 | Julie K Jordan | Counselor | 330 N Babcock St, #102, Melbourne, FL 32935-7324 | 2007-12-06 |
| 1982686895 | Julie A Jordan | Chiropractor | 186 Fabian Dr, Aiken, SC 29803-2553 | 2005-11-16 |
| 1245716166 | Julie Anne Jordan | Behavioral Analyst | 19750 S Vermont Ave, Torrance, CA 90502-1119 | 2018-07-13 |
| 1790056075 | Julie Marie Jordan | Nurse Practitioner | 900 Old Winston Rd, Kernersville, NC 27284-9964 | 2012-01-19 |
| 1023336062 | Julie Christine Jordan | Acupuncturist | 2128 Pico Blvd, Santa Monica, CA 90405-1718 | 2010-05-15 |
| 1699982637 | Julie Jordan | Physician Assistant | 6 Buttrick Rd, Suite 102, Londonderry, NH 03053-3417 | 2007-05-17 |
| 1942355433 | Julie Jordan | Occupational Therapist | 500 W Fort St, Boise, ID 83702-4501 | 2007-01-24 |
| Street Address |
2900 CHANCELLOR DR |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978418 | Del A Burchell | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-03 |
| 1144638842 | Melissa Renee Brueggemann | Nurse Practitioner | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2014-07-25 |
| 1104128651 | Mistie Holly Collins | Registered Nurse | 2900 Chancellor Dr, Crestview Hills, KY 41017 | 2010-12-02 |
| 1578508271 | Kara Shay | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-06-17 |
| 1861445504 | Internal Medicine Associates of Northern Kentucky | Internal Medicine | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-05-17 |
| 1770531444 | Theresa R Koester | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-05-05 |
| 1982664264 | Mark Stephen Meier | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2006-03-23 |
| 1700878162 | Christopher A Heeb | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| 1811989288 | Terry A Mcdannold | Specialist | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| 1518959865 | Thomas O'connell | Internal Medicine | 2900 Chancellor Dr, Crestview Hills, KY 41017-5427 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1922119122 | Grant Hamilton Breazeale | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017-5423 | 2006-08-31 |
| 1033170063 | Jon Raymond Minzner | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017-3413 | 2006-03-29 |
| 1417488222 | Kelly Renee Sun | Internal Medicine | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2017-03-23 |
| 1306204813 | Julie Broderick Gomez | Internal Medicine | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2016-01-29 |
| 1881026169 | St. Elizabeth Medical Group | Internal Medicine | 2765 Chapel Pl, Suite 200, Crestview Hills, KY 41017-3413 | 2013-08-08 |
| 1720425952 | Sarah F Keller | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2013-05-29 |
| 1316292329 | Mustapha El Halabi | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-07-16 |
| 1942565841 | Luis Carlos Watanabe Tejada | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2012-07-08 |
| 1033485644 | Aishwarya Rushyal Shyamraj | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2012-03-28 |
| 1861768988 | Steven Jeffrey Campbell Jr. | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2012-03-23 |
| Find all providers in CRESTVIEW HILLS | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.