MR. ROGER E ORDAL (NPI# 1366635963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366635963 |
| Entity Type | Individual |
| Full Name | MR. ROGER E ORDAL |
| Credential | CSA |
| Practice Address |
200 Clinic Dr Madisonville KY 42431-1661 |
| Practice Telephone | 2703266116 |
| Practice Fax Number | 2703266118 |
| Mailing Telephone | 2703266116 |
| Mailing Fax Number | 2703266118 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA026 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 CLINIC DR |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116132 | James Criss Yelton | Orthopaedic Surgery | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2005-07-05 |
| 1881207355 | Ronnie Leif Knudsen | Pharmacist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-08-25 |
| 1366051922 | Eric Aodh O'reilly | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-07-29 |
| 1841829124 | Stuart D Le | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1386273654 | Folaranmi Ajiboye | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1154950434 | Alexander B Weber | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1174152458 | Kyle A Romines | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1346879624 | Lohita Nulu | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1255961827 | Melinda Nightingale | Nurse Practitioner | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-01-22 |
| 1093366858 | Heather Koren Wyatt | Peer Specialist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710353685 | Chastity Stevens | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2015-08-14 |
| 1831331776 | Melissa A Geary | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2009-03-24 |
| 1467697458 | Kimberly Dawn Conner | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2008-12-05 |
| 1396909248 | Nancy Katherine Drury | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2008-07-10 |
| 1740387372 | Theresia Renner | Physician Assistant | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429620 | Hannah Johnson | Physician Assistant | 4359 New Shepherdsville Rd Unit 245, Bardstown, KY 40004-8004 | 2015-10-13 |
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1255463196 | Robert Louis Boden | Physician Assistant | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-03-09 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
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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.