DR. DONNA RAE JORDAN (NPI# 1205985082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205985082 |
| Entity Type | Individual |
| Full Name | DR. DONNA RAE JORDAN |
| Credential | M.D. |
| Practice Address |
3581 Palmer Dr Ste. 401 Cameron Park CA 95682-8236 |
| Practice Telephone | 5306764122 |
| Practice Fax Number | 5306766644 |
| Mailing Telephone | 5306764122 |
| Mailing Fax Number | 5306766644 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G58700 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BJ1137389 | 01 |
| CA | MEDICAL LICENSE | G58700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464009 | Donna Elaine Jordan | Counselor | 882 Witherby Ln, Lewisville, TX 75067-4474 | 2020-10-15 |
| 1710487772 | Donna Jordan | Licensed Vocational Nurse | 147 Fox Run Rd, Bowie, TX 76230-8714 | 2018-02-16 |
| 1831592260 | Donna Jordan | Social Worker | 3011 Manhattan Ave, Baltimore, MD 21215 | 2014-09-30 |
| 1821365644 | Donna Marie Jordan | Counselor | 824 N 99th Ave, Avondale, AZ 85323-5324 | 2011-11-22 |
| 1942433743 | Donna Jordan | Counselor | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2009-08-26 |
| 1245438449 | Donna Jordan | Specialist | 4202 E Fowler Ave, Tampa, FL 33620-9951 | 2007-07-10 |
| 1518990464 | Donna Michelle Jordan | Family Medicine | 23 Hospital Dr, Suite 100, Abilene, TX 79606-5270 | 2006-07-07 |
| Street Address |
3581 PALMER DR STE. 401 |
| City | CAMERON PARK |
| State | CA |
| Zip Code | 95682-8236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297959 | Franklin Banker | Radiology | 3581 Palmer Dr, Ste 303, Cameron Park, CA 95682-8237 | 2005-07-05 |
| 1700149150 | Swetha Mudunuri | Internal Medicine | 3581 Palmer Dr, Suit 602, Cameron Park, CA 95682-8236 | 2012-06-20 |
| 1942588652 | Pa Thao Vang | Nurse Practitioner | 3581 Palmer Dr, Suite 602, Cameron Park, CA 95682-8236 | 2011-07-29 |
| 1689974040 | Asha K Desai .m.d.p.c. | Allergy & Immunology | 3581 Palmer Dr, Suite #203, Cameron Park, CA 95682-8236 | 2010-11-01 |
| 1487967576 | Mamatha Siricilla | Internal Medicine | 3581 Palmer Dr, Suite 400, Cameron Park, CA 95682-8236 | 2010-07-19 |
| 1508096132 | Chw Medical Foundation | Clinic/Center | 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682-8236 | 2009-07-16 |
| 1659554285 | Marshall Medical Center | Internal Medicine | 3581 Palmer Dr, Suite 400, Cameron Park, CA 95682-8236 | 2007-12-05 |
| 1104943182 | Osteoporosis Medical Center | Orthopaedic Surgery | 3581 Palmer Dr, Suite 201, Cameron Park, CA 95682-8236 | 2007-03-23 |
| 1194881763 | Maria Ann Raslear | Pediatrics | 3581 Palmer Dr, Ste. 401, Cameron Park, CA 95682-8236 | 2006-12-28 |
| 1285794982 | Aidan C Maguire | Physician Assistant | 3581 Palmer Dr, Ste. 401, Cameron Park, CA 95682-8236 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225681 | Breanna Canclini | Occupational Therapist | 2690 Hillcrest Dr, Cameron Park, CA 95682 | 2014-08-07 |
| 1497030852 | Bullards Dialysis LLC | Clinic/Center | 3311 Coach Ln Ste C, Cameron Park, CA 95682 | 2011-10-18 |
| 1417265786 | George Waite Weilepp | Orthopaedic Surgery | 4880 Maggie Court, Shingle Springs, CA 95682 | 2010-09-20 |
| 1831417757 | Maisha Michelle Correia | Psychiatry & Neurology | 3581 Palmer Dr Ste 202, Cameron Park, CA 95682 | 2010-05-17 |
| 1043466212 | Richard Joseph Sommerdyke | Dentist | 4200 Mother Lode Dr, Suite A, Shingle Springs, CA 95682 | 2008-08-07 |
| 1912120189 | Robert L Catron | Dentist | 3350 Coach Ln, Cameron Park, CA 95682 | 2007-04-10 |
| 1154457083 | Leslie Joan Hill-sokol | Marriage & Family Therapist | 3330 Heights Dr Ste 120, Cameron Park, CA 95682 | 2007-02-26 |
| 1114082765 | Torrey R Hammond | Dentist | 970 Camerado Drive, Ste 100, Cameron Park, CA 95682 | 2006-12-26 |
| 1659431062 | Petrice Foxworthy | Chiropractor | 3370 Country Club Dr., Cameron Park, CA 95682 | 2006-12-08 |
| 1346310570 | Lorin G Farr | Chiropractor | 3091 Alhambra Dr, Ste A, Cameron Park, CA 95682 | 2006-11-08 |
| Find all providers in zip 95682 | ||||
| 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 |
|---|---|---|---|---|
| 1992827299 | Anuradha Shanmugham | Internal Medicine | 3581 Palmer Dr Ste 602, Cameron Park, CA 95682-8238 | 2007-04-06 |
| 1700149150 | Swetha Mudunuri | Internal Medicine | 3581 Palmer Dr, Suit 602, Cameron Park, CA 95682-8236 | 2012-06-20 |
| 1538482328 | Ernest Lo | Internal Medicine | 3102 Porte Morino Drive, Suite 100, Cameron Park, CA 95682-8287 | 2010-03-08 |
| 1013080654 | Helen Yen-hwa Cheng | Internal Medicine | 3427 Robin Ln Ste 100, Cameron Park, CA 95682-7255 | 2006-11-15 |
| 1912077868 | Wendy Zilch Dyer | Internal Medicine | 3427 Robin Ln, Cameron Park, CA 95682-7254 | 2006-11-08 |
| 1871697904 | Marshall Medical Center | Internal Medicine | 3581 Palmer Drive, Suite 602, Cameron Park, CA 95682 | 2006-09-11 |
| 1073597241 | Mark Mansour | Internal Medicine | 3501 Palmer Dr, Suite 201, Cameron Park, CA 95682-8276 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | CAMERON PARK |
| Zip Code | 95682 |
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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.