DR. JORDAN C ISERMAN (NPI# 1528110947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528110947 |
| Entity Type | Individual |
| Full Name | DR. JORDAN C ISERMAN |
| Credential | MD |
| Practice Address |
900 Garden Gate Cir Pensacola FL 32504-8629 |
| Mailing Address |
900 Garden Gate Circle Pensacola FL 32504-8629 |
| Practice Telephone | 8504780008 |
| Practice Fax Number | 8504941817 |
| Mailing Telephone | 8504780008 |
| Mailing Fax Number | 8504941817 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME61308 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSSBLUE SHIELD | 14886 | 01 |
| FL | VALUE OPTIONS | 020746 | 01 |
| Street Address |
900 GARDEN GATE CIR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538247507 | Donald W Winslett | Psychologist | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2006-11-01 |
| 1801297072 | Kevin Waymire | Marriage & Family Therapist | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2014-09-08 |
| 1477808996 | Ashley Goneke Walker | Counselor | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2012-07-20 |
| 1811049240 | Karen L Shell | Counselor | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2007-01-17 |
| 1609926039 | John L Hodges | Psychologist | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2007-01-10 |
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|---|---|---|---|---|
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| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720431 | Kenneth D Ragan | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1316947377 | Robert Scott Benson | Psychiatry & Neurology | 5190 Bayou Blvd, Bldg 6, Pensacola, FL 32503-2194 | 2005-07-29 |
| 1699970962 | Okaloosa Mental Health & Psychiatric Center, Inc. | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-06-18 |
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| 1467934224 | Arh Medical Group LLC | Psychiatry & Neurology | 631 Us Highway 1 Ste 409, North Palm Beach, FL 33408-4621 | 2018-08-29 |
| 1255879060 | Round Care, Inc | Psychiatry & Neurology | 300 W Sunrise Blvd Ste 3, Ft Lauderdale, FL 33311-6200 | 2017-02-01 |
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1386910172 | Siddharth Singh Arora | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2012-03-27 |
| 1194010694 | Laurie Ann Solomon | Psychiatry & Neurology | 100 Newell Dr # L4100, Gainesville, FL 32611-1912 | 2011-06-13 |
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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.