JIZ ALPHONS MATHEW JORDAN (NPI# 1487103396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487103396 |
| Entity Type | Individual |
| Full Name | JIZ ALPHONS MATHEW JORDAN |
| Credential | PA-C |
| Practice Address |
345 Cypress Creek Rd Ste 104 Cedar Park TX 78613-4484 |
| Mailing Address |
13625 Ronald W Reagan Blvd Bldg 6 Cedar Park TX 78613-2073 |
| Practice Telephone | 5123362777 |
| Mailing Telephone | 5123362777 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1136026 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 University Blvd, Galveston, TX 775552664 | 2813380829 |
| Street Address |
345 CYPRESS CREEK RD STE 104 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-4484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184867632 | Lindsey Nicole Moore | Pediatrics | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2009-04-14 |
| 1780229237 | Sarah Dodds | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2019-11-07 |
| 1619488053 | Andrew Kester | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-10-12 |
| 1467987990 | Sarah Williamson | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-04-21 |
| 1568907368 | Elizabeth Silva Baeza | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-01-03 |
| 1871970236 | Sarah Givner | Pediatrics | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 | 2015-05-05 |
| 1033417266 | Monica Lane | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847587 | Tricia L Winters | Physician Assistant | 1464 E Whitestone Blvd, Suite 301, Cedar Park, TX 78613-9058 | 2005-08-10 |
| 1124578885 | Sarah Yeakley Demuth | Physician Assistant | 910 E Whitestone Blvd, Cedar Park, TX 78613-9093 | 2016-10-06 |
| 1164606588 | Jennifer Nuessner | Physician Assistant | 200 S Bell Blvd, Suite F5, Cedar Park, TX 78613-2910 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.