NED C JORDAN (NPI# 1467480293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467480293 |
| Entity Type | Individual |
| Full Name | NED C JORDAN |
| Credential | RPA-C |
| Practice Address |
107 Prospect St Attica NY 14011-1149 |
| Mailing Address |
9820 S Street Rd Le Roy NY 14482-8815 |
| Practice Telephone | 5855916000 |
| Practice Fax Number | 5855916962 |
| Mailing Telephone | 5857682022 |
| Mailing Fax Number | 5855916962 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000809 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 000809 | 01 |
| Street Address |
107 PROSPECT ST |
| City | ATTICA |
| State | NY |
| Zip Code | 14011-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861460214 | Raja Kolisetti | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2006-03-10 |
| 1679986681 | Attica Family Medicine, Pllc | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2014-06-06 |
| 1740586536 | Raja Kolisetti | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2011-01-27 |
| 1659682441 | Nitin Arora | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2010-06-25 |
| 1396939518 | Sreelatha Ukkadam | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2007-08-30 |
| 1750337218 | Carol Dawn Batra | Nurse Practitioner | 107 Prospect St, Attica, NY 14011-1149 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376702423 | Ronette Ann Wolcott | Registered Nurse | 33 Water Street, Attica, NY 14011 | 2008-06-04 |
| 1275629875 | Joseph Allan Craddock | Dentist | 3325 E Main Street Rd, Attica, NY 14011 | 2006-10-04 |
| 1184694887 | Patricia Mann | Physical Therapist | 120 Prospect St, Step By Step Physical Therapy, Attica, NY 14011 | 2006-01-25 |
| 1487059176 | Young Sung Jun | General Practice | 3203 Dunbar Road, Attica, NY 14011-0501 | 2014-10-24 |
| 1144479742 | Jennifer Smith | Licensed Practical Nurse | 122 Market St, Attica, NY 14011-1011 | 2008-09-18 |
| 1720130388 | Daryle Nathan Luplow | Chiropractor | 23 Main St, Attica, NY 14011-1022 | 2007-01-16 |
| 1437609450 | Attica Pharmacy, Inc. | Pharmacy | 2 Market St, Attica, NY 14011-1024 | 2016-10-13 |
| 1497049142 | Diane K Melven | Licensed Practical Nurse | 68 North St, Attica, NY 14011-1035 | 2011-05-29 |
| 1932424553 | Willcare | Home Health | 57 Main St, Attica, NY 14011-1038 | 2010-04-07 |
| 1205312758 | Baley Mallon | Licensed Practical Nurse | 6 Main St Apt B, Attica, NY 14011-1064 | 2018-07-18 |
| Find all providers in zip 14011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.