WILLIAM J JORDAN (NPI# 1144302803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144302803 |
| Entity Type | Individual |
| Full Name | WILLIAM J JORDAN |
| Credential | PA |
| Practice Address |
839 S Putnam St Williamston MI 48895-1623 |
| Mailing Address |
5525 S Martin Luther King Jr Blvd Lansing MI 48911-3546 |
| Practice Telephone | 5176553515 |
| Practice Fax Number | 8554760189 |
| Mailing Telephone | 5173943175 |
| Mailing Fax Number | 5173947453 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001389 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PLUS BLUE-MEDICARE ADVANTAGE | 0N61290008 | 01 | |
| MI | BLUE CROSS BLUE SHIELD | 1153313120 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5525 S Martin Luther King Jr Blvd, Lansing, MI 489113546 | 5173943175 | 5173947453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267862 | William Eriksen Jordan | Counselor | 2812 Drake Ave Sw, Huntsville, AL 35805-5122 | 2020-05-19 |
| 1245668516 | William Travis Jordan | Psychologist | 4037 Taylor Rd Ste C, Chesapeake, VA 23321-5500 | 2013-10-24 |
| 1437349420 | William Jefferson Jordan | Orthopaedic Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384 | 2007-07-26 |
| 1346373214 | William Vascoe Jordan IIi | Dentist | 3501 Town Center Blvd S, Sugar Land, TX 77479-1285 | 2007-03-13 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1720099518 | William C Jordan | Counselor | 613 Pelham Rd S Ste 2, Jacksonville, AL 36265-2771 | 2006-08-10 |
| 1366474678 | William Jordan | Dentist | 18789 Sw Boones Ferry Rd, Ste 4, Tualatin, OR 97062-8412 | 2006-07-07 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1275940462 | William Jordan | Pharmacist | 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | 2014-07-19 |
| Street Address |
839 S PUTNAM ST |
| City | WILLIAMSTON |
| State | MI |
| Zip Code | 48895-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811942097 | Donald Louis Hillman | Family Medicine | 839 S Putnam St, Williamston, MI 48895-1623 | 2006-05-24 |
| 1992292353 | Shelly Renee Vliet | Nurse Practitioner | 839 S Putnam St, Williamston, MI 48895-1623 | 2018-04-20 |
| 1861900391 | Joanne E Campbell | Nurse Practitioner | 839 S Putnam St, Williamston, MI 48895-1623 | 2018-01-18 |
| 1003215260 | Julie Ann Alvarado | Nurse Practitioner | 839 S Putnam St, Williamston, MI 48895-1623 | 2014-08-13 |
| 1023383668 | Francesca Marie Buskulic | Internal Medicine | 839 S Putnam St, Williamston, MI 48895 | 2012-03-15 |
| 1548472079 | Aaron Michael Bohrer | Internal Medicine | 839 S Putnam St, Williamston, MI 48895-1623 | 2007-05-04 |
| 1720119522 | Kathy A Grace | Physician Assistant | 839 S Putnam St, Williamston, MI 48895-1623 | 2007-03-07 |
| 1730121880 | Douglas R Vanderjagt | Internal Medicine | 839 S Putnam St, Williamston, MI 48895-1623 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225530561 | Jennifer Lynn Koresky | Physical Therapist | 1288 W Grand River Ave, Williamston, MI 48895 | 2018-03-02 |
| 1912354754 | Jessica Sundholm | Speech-Language Pathologist | 301 Williamston Center Rd., Suite 800, Williamston, MI 48895 | 2016-05-23 |
| 1366524035 | Martha Croswell | Nurse Anesthetist, Certified Registered | 4179 Meadowdale Drive, Williamston, MI 48895 | 2006-10-20 |
| 1588759930 | Kermit L Lemon | Optometrist | 425 W Grand River Ave, Williamston, MI 48895 | 2006-10-03 |
| 1366553307 | Beth Ann Faber | Dentist | 425 West Grand River Avenue, Suite C, Williamston, MI 48895 | 2006-08-31 |
| 1922118710 | Marlene Denise Brewbaker | Dentist | 425 W Grand River, Williamston, MI 48895 | 2006-08-30 |
| 1033742457 | Jamie Smith | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48895 | 2020-02-13 |
| 1649522459 | Carol Z Way | Social Worker | 870 Hickory Ln, Williamston, MI 48895-1042 | 2012-10-04 |
| 1073050563 | Mary Ellen O'reilly | Occupational Therapist | 614 Mccauley St, Williamston, MI 48895-1059 | 2017-01-23 |
| 1437600145 | Williamston Compassionate Care | Assisted Living Facility | 3800 Vanneter Rd, Williamston, MI 48895-1077 | 2016-10-18 |
| Find all providers in zip 48895 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391936 | Laura Elizabeth Rosekrans | Physician Assistant | 1251 Berkshire Dr, Williamston, MI 48895-9211 | 2020-09-22 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1902315302 | Michelle Elizabeth Redmond | Physician Assistant | 3355 Chula Vista Dr, Williamston, MI 48895-9596 | 2017-09-28 |
| 1457913287 | Jones Lake Emergency Group, PC | Physician Assistant | 310 S Mccaskey Rd, Williamston, NC 27892-2150 | 2019-07-02 |
| 1124210554 | Susan Edith Evers | Physician Assistant | 210 W Liberty St, Albemarle Mental Health Center, Williamston, NC 27892-1712 | 2007-08-09 |
| 1720119522 | Kathy A Grace | Physician Assistant | 839 S Putnam St, Williamston, MI 48895-1623 | 2007-03-07 |
| 1942376322 | Kristin Ward Warren | Physician Assistant | 220 Green St, Williamston, NC 27892-2000 | 2006-11-28 |
| 1992803043 | Kevin Walter Burnham | Physician Assistant | 24 E Main St, Williamston, SC 29697-1925 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 48895 |
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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.