LAUREN T JORDAN (NPI# 1295786911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295786911 |
| Entity Type | Individual |
| Full Name | LAUREN T JORDAN |
| Other Name | LAUREN T LABRECQUE |
| Credential | PA-C |
| Practice Address |
100 Campus Dr 108 Scarborough ME 04074-7171 |
| Mailing Address |
Po Box 911 Brattleboro VT 05302-0911 |
| Practice Telephone | 2073967600 |
| Practice Fax Number | 2073967610 |
| Mailing Telephone | 2073033200 |
| Mailing Fax Number | 2073033016 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA741 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-741 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 040861773 | 2077291148 | 2077292789 |
| 2 Independence Dr, Kennebunk, ME 040436078 | 2079850008 | 2079859820 |
| 51 Us Route 1 Ste I, Scarborough, ME 040747145 | 2073033300 | 2073033016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518750 | Lauren N Jordan | Home Health Aide | 2639 Naylor Rd Se Apt 102, Washington, DC 20020-7249 | 2019-09-30 |
| 1023555265 | Lauren Jordan | Specialist/Technologist | 1818 Juanita Dr, Arlington, TX 76013-3457 | 2017-01-26 |
| 1003417403 | Lauren Jordan | Acupuncturist | 1225 Ken Pratt Blvd Unit 222, Longmont, CO 80501-9017 | 2020-11-03 |
| 1023525300 | Lauren Hagemeyer Jordan | Physical Therapist | 320 Pine Cone Pl, Pine Valley, UT 84781-2375 | 2018-01-08 |
| 1003254590 | Lauren Jordan | Optometrist | 200 Village Center Dr Ste 300, North Oaks, MN 55127-7088 | 2013-06-06 |
| 1104188085 | Lauren B Jordan | Advanced Practice Midwife | 1071 Care Way Ste 101, Fredericksburg, VA 22401-8431 | 2012-06-15 |
| 1275829087 | Lauren Elizabeth Jordan | Obstetrics & Gynecology | 350 W Thomas Rd, Attn: Academic Affairs, Phoenix, AZ 85013-4409 | 2011-06-21 |
| 1568516128 | Lauren Brand Jordan | Counselor | 7557 Rambler Rd, Suite 612, Dallas, TX 75231-4142 | 2007-01-22 |
| Street Address |
100 CAMPUS DR 108 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678112 | Gary M Hochheiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2005-06-13 |
| 1720525447 | Theresa Roelke | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2017-01-20 |
| 1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
| 1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1073803144 | Summer D Mowry | Nurse Practitioner | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2011-04-11 |
| 1912204033 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 107, Scarborough, ME 04074 | 2011-02-25 |
| 1841596517 | Mainehealth | Internal Medicine | 100 Campus Dr, Suite 110, Scarborough, ME 04074 | 2011-01-28 |
| 1053647024 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 103, Scarborough, ME 04074-7171 | 2009-10-27 |
| 1588801773 | Karen Anne Phelps | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2009-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| 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 |
|---|---|---|---|---|
| 1073586491 | Sara M Hoffman | Physician Assistant | 153 Us Route 1, Scarborough, ME 04074 | 2006-02-08 |
| 1487134284 | Amanda R Schlosky | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2018-08-21 |
| 1972911659 | David J. Spach | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2014-07-26 |
| 1346599958 | Brooke K Maden | Physician Assistant | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2012-08-29 |
| 1376821363 | Anne Marie Richardson | Physician Assistant | 49 Spring St, Scarborough, MA 04074 | 2011-07-26 |
| 1740582691 | Amanda L Schweizer | Physician Assistant | 96 Campus Drive, Suite 2c, Scarborough, ME 04074 | 2010-11-29 |
| 1730413410 | Anne M Rosenberg | Physician Assistant | 49 Spring Street, Scarborough, ME 04074 | 2009-09-28 |
| 1558529776 | Jesse Q Roberts | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2008-05-23 |
| 1922298470 | Jaime B Fairfield | Physician Assistant | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2007-07-31 |
| 1265550990 | Samuel E Umbriaco | Physician Assistant | 96 Campus Dr, Scarborough, ME 04074 | 2007-03-27 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on LAUREN T JORDAN.
| 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.