JACOB JORDAN (NPI# 1417048554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417048554 |
| Entity Type | Individual |
| Full Name | JACOB JORDAN |
| Credential | M.D. |
| Practice Address |
2335 Tamiami Trail N. Suite 501 Naples FL 34103-4456 |
| Mailing Address |
2234 Colonial Blvd. Attn: Managed Care Dept. Fort Myers FL 33907 |
| Practice Telephone | 2392630011 |
| Practice Fax Number | 2394307823 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME0047319 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OPTIMUM | P953733 | 01 |
| FL | BCBS | 08461 | 01 |
| FL | MOLINA | QMP000005106623 | 01 |
| FL | WELLCARE | 201912 | 01 |
| FL | AETNA | 5954082 | 01 |
| FL | RR MEDICARE | P00877422 | 01 |
| FL | 057907600 | 05 | |
| FL | AVMED | 292168 | 01 |
| FL | FREEDOM | P305081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346326 | Jacob Paul Jordan | Student in an Organized Health Care Education/Training Program | 200 Mercy Cir, Oceanside, CA 92058 | 2020-11-05 |
| 1598002776 | Jacob I Jordan | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2013-01-09 |
| Street Address |
2335 TAMIAMI TRAIL N. SUITE 501 |
| City | NAPLES |
| State | FL |
| Zip Code | 34103-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871031 | Andrea Clarice Romero | Acupuncturist | 1044 Castello Dr. Suite 105, Naples, FL 34103 | 2019-06-21 |
| 1720526387 | A Change of Mind, LLC | Community/Behavioral Health | 5020 Tamiami Trail N, Suite 202, Naples, FL 34103 | 2017-02-03 |
| 1316499510 | Hear Again LLC | Hearing Aid Equipment | 4951 Tamiami Trail N, Ste # 104, Naples, FL 34103 | 2016-11-04 |
| 1801274923 | Naples Pharmacy Services | Pharmacy | 5600 Trail Blvd Suit 10, Naples, FL 34103 | 2015-05-08 |
| 1053799361 | Total Home Health Naples, LLC. | Home Health | 4851 Tamiami Trail, Suite 200, Naples, FL 34103 | 2015-05-07 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1265842280 | Guardian of Hope Senior Home, LLC | Home Health | 2900 14th N Suite 3a, Naples, FL 34103 | 2014-04-29 |
| 1740556356 | My Sleep Apnea, LLC | Durable Medical Equipment & Medical Supplies | 4910 Tamiami Tr N., Suite 114, Naples, FL 34103 | 2012-03-28 |
| 1477825727 | Pain Relief Center, P.a | Chiropractor | 840 Anchor Rode Drive, Naples, FL 34103 | 2012-02-02 |
| 1225312515 | Darrow Chiropractic Clinic Inc. | Chiropractor | 3400 N. Tamiami Tr., Ste 104, Naples, FL 34103 | 2011-10-05 |
| Find all providers in zip 34103 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982079380 | Genesiscare Usa of Florida LLC | Surgery | 820 Goodlette-frank Rd N, Naples, FL 34102-5445 | 2015-12-10 |
| 1346627585 | Christopher Bashian | Surgery | 3320 Cayman Ln, Naples, FL 34119-1607 | 2015-04-27 |
| 1497168751 | Jonathan Ryan Obi | Surgery | 311 9th St N Ste 308, Naples, FL 34102-5889 | 2014-06-04 |
| 1528405644 | Catherine Dickinson | Surgery | U. S. Naval Hospital, Via Contrada Boscariello Gricignano Di Aversa, Naples, CAMPANIA 81030 | 2013-05-30 |
| 1033469804 | Sam Momtazee | Surgery | 1654 Chinaberry Ct., Naples, FL 34105-3050 | 2012-09-19 |
| 1235469461 | Ralph Arwood | Surgery | 1717 Gulf Shore Blvd N, Naples, FL 34102-4983 | 2010-01-11 |
| 1235397662 | Troy Lee Shell | Surgery | 7955 Airport Rd N Ste 100, Naples, FL 34109-1794 | 2008-06-02 |
| 1760570626 | Sharla Gayle Patterson | Surgery | 11181 Health Park Blvd Ste 2220, Naples, FL 34110-5734 | 2006-10-10 |
| 1265528319 | James M Scanlon | Surgery | 130 9th St N, Suite 120, Naples, FL 34102-6224 | 2006-10-05 |
| 1548368020 | Justin D Warner | Surgery | 2335 Tamiami Trail N, Suite 501, Naples, FL 34103-4456 | 2006-09-20 |
| Find all providers in NAPLES | ||||
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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.