JORDAN WICKER (NPI# 1366979213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366979213 |
| Entity Type | Individual |
| Full Name | JORDAN WICKER |
| Credential | PA |
| Practice Address |
555 E Cheves St Florence SC 29506-2617 |
| Mailing Address |
555 E. Cheves St. Attn: Radiology Department Florence SC 29506-2617 |
| Practice Telephone | 8437772000 |
| Mailing Telephone | 8437772879 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255656377 | Jordan Field Wicker | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6504 | 2010-03-31 |
| Street Address |
555 E CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670135 | Andre T. Creese | Emergency Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2005-06-21 |
| 1669070694 | Meghan Joan Wallace | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2020-10-12 |
| 1437776267 | Nicole Mckenzie Preder | Dietitian, Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2020-06-27 |
| 1326661000 | Christopher Bradley Tyner | Nurse Anesthetist, Certified Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2020-05-28 |
| 1588285480 | Kenya Evette Thomas | Student in an Organized Health Care Education/Training Program | 555 E Cheves St, Florence, SC 29506-2617 | 2020-05-01 |
| 1437788056 | Deleisha Mcfadden | Nurse Anesthetist, Certified Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-06 |
| 1902435084 | Charlee Caroline Pittman | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-02 |
| 1194353250 | Michael Craig Corso | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-01 |
| 1164050373 | Michael Shea | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-01 |
| 1184252926 | Lauren Veronica Benning | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| 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 |
|---|---|---|---|---|
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1922625185 | Michael O'brien | Physician Assistant | 70 Acrebrook Dr, Florence, MA 01062-3421 | 2020-07-02 |
| 1669099677 | Brittany Nicole Rafferty | Physician Assistant | 903 Schisler Dr, Florence, NJ 08518-2803 | 2020-06-26 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1538715784 | Jeffre Rogers Mccutcheon | Physician Assistant | 200 W Evans St, Florence, SC 29501-3469 | 2019-08-14 |
| 1992272470 | Hope Lee | Physician Assistant | 800 E Cheves Street Ste 350, Florence, SC 29506-4765 | 2018-11-01 |
| 1982062642 | Andrew Coleman | Physician Assistant | 205 Marengo St., Eliza Coffee Memorial Hospital, Florence, AL 35636 | 2016-02-09 |
| 1619352259 | Jordan Mcclure | Physician Assistant | 7683 Mall Rd Unit B, Florence, KY 41042-1590 | 2015-07-24 |
| 1134460561 | Julie Marie Clement | Physician Assistant | 971 Jason Lopez Cir Stop B, Florence, AZ 85132-2502 | 2013-03-11 |
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| Find all providers in FLORENCE | ||||
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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.