DR. JORDANA WEBER (NPI# 1174897441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174897441 |
| Entity Type | Individual |
| Full Name | DR. JORDANA WEBER |
| Credential | MD |
| Practice Address |
252 S 4th St Fl 3 Lebanon PA 17042-6111 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7172704876 |
| Practice Fax Number | 7172703875 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD458576 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 281031 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 281031 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD OF NENY | 000426822001 | 01 |
| NY | EMPIRE BLUE CROSS | 8D5861 | 01 |
| NY | CDPHP | 200314735 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 Nott St, Schenectady, NY 123082425 | 5182434135 | 5182431367 |
| Street Address |
252 S 4TH ST FL 3 |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861695157 | Musaddiq Waheed | Family Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2007-06-06 |
| 1568937423 | Erica R Light | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2018-10-08 |
| 1710462411 | Andrea Schremph | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6123 | 2018-09-27 |
| 1194172478 | David Momand | Internal Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2016-05-17 |
| 1386008308 | Tsegay Goitom | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2016-04-06 |
| 1750744223 | Joshua Bowling | Internal Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042 | 2016-04-01 |
| 1689081119 | Aamer Abbass | Internal Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2014-07-16 |
| 1104232925 | Qalb Khan | Internal Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2014-07-02 |
| 1447677588 | Matthew A Emerich | Emergency Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042 | 2014-03-26 |
| 1033559448 | Rikka Asuncion Banayat | Internal Medicine | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2013-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1033693031 | Heather Heck | Family Medicine | 1701 Cornwal Road, Lebanon, PA 17042-7480 | 2018-09-17 |
| 1982113148 | A1 Health Care Clinic | Family Medicine | 703 East Main Street, # 8, Lebanon, KY 40444 | 2017-09-20 |
| 1952830127 | Juliana Zamora Cubillos | Family Medicine | 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 | 2017-06-09 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1598108763 | Docare,llc | Family Medicine | 680 E Grant St, Lebanon, OR 97355-4432 | 2013-04-08 |
| Find all providers in LEBANON | ||||
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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.