JORDAN KENNETH MARSHALL (NPI# 1396188025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396188025 |
| Entity Type | Individual |
| Full Name | JORDAN KENNETH MARSHALL |
| Credential | MD |
| Practice Address |
275 S Aspen St Stop 89 Buckley Afb CO 80011-9562 |
| Practice Telephone | 7208476486 |
| Practice Fax Number | 7208476197 |
| Mailing Telephone | 7208476486 |
| Mailing Fax Number | 7208476197 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101257159 | VA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 0101257159 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952406 | Jordan Marshall | Speech-Language Pathologist | 2301 Ohio Dr Ste 140, Plano, TX 75093-3923 | 2020-01-27 |
| 1841816840 | Jordan Marshall | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
| 1962980359 | Jordan Marshall | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2018-07-30 |
| 1609238344 | Jordan T Marshall | Dentist | 168 Dorchester Sq S, Westerville, OH 43081-7303 | 2016-03-22 |
| Street Address |
275 S ASPEN ST STOP 89 |
| City | BUCKLEY AFB |
| State | CO |
| Zip Code | 80011-9562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106968 | Lorie Sharyl Gose | Psychologist | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2008-02-27 |
| 1649805102 | Kathryn Jansen Gorham | Dietitian, Registered | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2020-03-05 |
| 1306334743 | Robert N Dipuppo | Military Health Care Provider | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2018-05-01 |
| 1710389408 | Melissa Ann Bonnell | Psychologist | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2014-09-24 |
| 1811332216 | Amit Bhardwaj | Psychiatry & Neurology | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2013-04-30 |
| 1578803201 | Kaylaen Dittmer Evans | Optometrist | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2013-02-16 |
| 1205063807 | Gary William D'orazio | Family Medicine | 275 S Aspen St Stop 89, Buckley Afb, CO 80011-9562 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020923 | Scl Health Medical Group - Denver, LLC | General Practice | 8550 W 38th Ave Ste 320, Wheat Ridge, CO 80033-4300 | 2020-07-16 |
| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1407478456 | Poudre Valley Medical Group, LLC | General Practice | 2500 Rocky Mountain Ave # F1016j, Loveland, CO 80538-9004 | 2020-05-13 |
| 1386263044 | Poudre Valley Medical Group, LLC | General Practice | 3800 Wilson Ave, Loveland, CO 80538-2075 | 2020-04-13 |
| 1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
| 1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
| 1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | BUCKLEY AFB |
| Zip Code | 80011 |
Please comment or provide details below to improve the information on JORDAN KENNETH MARSHALL.
| 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.