DR. BENJAMIN WILLIAM JORDAN (NPI# 1457331845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457331845 |
Entity Type | Individual |
Full Name | DR. BENJAMIN WILLIAM JORDAN |
Credential | M.D. |
Practice Address |
90 Hospital Dr Athens OH 45701-2301 |
Mailing Address |
Po Box 188 Chillicothe OH 45601-0188 |
Practice Telephone | 7405923091 |
Mailing Telephone | 7407404366 |
Mailing Fax Number | 7407757855 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2019-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-06-5848-J | OH | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35-06-5848-J | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912461369 | Benjamin Jordan | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-29 |
1437413119 | Benjamin Craig Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-27 |
1922393396 | Benjamin C Jordan | Surgery | 700 S Park St, Madison, WI 53715 | 2011-06-14 |
1669606992 | Benjamin Edward Jordan | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203 | 2009-05-15 |
1386845535 | Benjamin Jordan | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2007-05-29 |
Street Address |
90 HOSPITAL DR |
City | ATHENS |
State | OH |
Zip Code | 45701-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982693867 | Robby W Wyatt | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2005-10-13 |
1366049462 | Alec Kurth | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-10-02 |
1265047336 | Amy Bakies | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-15 |
1770198426 | Devin Warner | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-10 |
1629683529 | Celia D Anderson | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-09 |
1649884651 | Kyrsten Copley | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-08 |
1407469851 | Rebecca Salmons | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-26 |
1487265203 | Jacelynn Renae Sharp | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-14 |
1437760899 | Ryan Gambill | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
1164033536 | Delia M Palmisano | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811068505 | Heidi Verena Jache | Psychiatry & Neurology | 1 Ohio University, Hudson Health Center 3rd Floor, Ohio University Counseling and Pyschological Services, Athens, OH 45701-2979 | 2006-11-13 |
1538197751 | Jill Mccarley, Md, Pa | Psychiatry & Neurology | 627 S Palestine St, Athens, TX 75751-3355 | 2006-06-28 |
1508086729 | Psychcare | Psychiatry & Neurology | 485 Huntington Rd, Suite 201, Athens, GA 30606-1861 | 2007-04-27 |
1215969621 | Leslie Mira Abromowitz | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
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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.