LEE JORDAN (NPI# 1114917598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917598 |
| Entity Type | Individual |
| Full Name | LEE JORDAN |
| Credential | M.D. |
| Practice Address |
3525 Olentangy River Rd Suite 6300 Columbus OH 43214-3937 |
| Mailing Address |
5400 Frantz Rd Ste 250 Dublin OH 43016-6102 |
| Practice Telephone | 6145663175 |
| Practice Fax Number | 6145663125 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35090009 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15205 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
35.090009 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2763611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378194 | Lee T Jordan | Dermatology | 1102 Roberts Street, Camden, SC 29020 | 2005-12-28 |
| 1205240439 | Lee Jordan | Family Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2014-06-16 |
| Street Address |
3525 OLENTANGY RIVER RD SUITE 6300 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264872 | Mark Alfonso | Radiology | 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 | 2005-05-31 |
| 1174141311 | Jennifer Vargo | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2020-07-13 |
| 1891346268 | Grant Dula | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2019-09-26 |
| 1790268795 | Ali Shapiro | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2018-09-14 |
| 1740796572 | Katherine Lee Cialella | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2017-12-15 |
| 1245745041 | Emily Lynn Hatfield | Physician Assistant | 3525 Olentangy River Rd, Ste 4330, Columbus, OH 43214 | 2017-12-04 |
| 1225554454 | Kathryn Nagle | Nurse Practitioner | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2017-08-18 |
| 1649704834 | Abigail Shaw | Nurse Practitioner | 3525 Olentangy River Rd, Suite 5300, Columbus, OH 43214-3937 | 2017-04-14 |
| 1437696572 | Kimberly A Heuser | Nurse Practitioner | 3525 Olentangy River Rd, Suite 5300, Columbus, OH 43214-3937 | 2017-01-27 |
| 1225573447 | Asha Marie Bhat Allen | Physician Assistant | 3525 Olentangy River Rd, Suite 5320, Columbus, OH 43214-3937 | 2016-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
| 1235492505 | Pavan Bhat | Internal Medicine | 9500 Euclid Ave # J3-6, Cleveland, OH 44195-0001 | 2012-06-20 |
| 1609074392 | Summa Physicians Inc | Internal Medicine | 95 Arch St Ste G50, Akron, OH 44304-1477 | 2007-07-05 |
| 1306495718 | Aultman Deuble Heart & Vascular Hospital, LLC | Internal Medicine | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2019-09-09 |
| 1073038030 | Juliane Vierecke | Internal Medicine | 3130 Highland Ave, Cincinnati, OH 45219-2316 | 2017-08-10 |
| 1982049250 | Karlee Krystin Hoffman | Internal Medicine | 9500 Euclid Ave # J2-3, Cleveland, OH 44195-4756 | 2013-05-01 |
| 1376568675 | Stephanie Dunlap | Internal Medicine | 222 Piedmont Ave, Ste 6000, Cincinnati, OH 45219-4231 | 2006-07-13 |
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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.