JORDAN PAYNE (NPI# 1558775171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558775171 |
| Entity Type | Individual |
| Full Name | JORDAN PAYNE |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846 |
| Mailing Address |
2215 Nashville Avenue Lubbock TX 79410 |
| Practice Telephone | 4322211111 |
| Mailing Telephone | 8067254800 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R2440 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 583266YKT8 | 01 |
| TX | BCBS | 8HA174 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Childrens Ave, Oklahoma City, OK 731044637 | 4052714417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629587886 | Jordan Payne | Case Manager/Care Coordinator | 4629 Aicholtz Road, Cincinnati, OH 45244 | 2017-09-20 |
| 1669926226 | Jordan Payne | Dentist | 8220 Memphis Ave, Lubbock, TX 79423-2612 | 2016-08-11 |
| 1942650783 | Jordan Payne | Chiropractor | 7235 Boat Club Rd, Fort Worth, TX 76179-4555 | 2016-06-13 |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047952 | Laurence W Cunningham | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2005-07-15 |
| 1861001935 | Rachel Campbell Black | Pharmacist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2020-07-24 |
| 1093331340 | Jana Lynne Peikert | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-06-23 |
| 1710500160 | K. Nicole Whitley Fnp-c, Pllc | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-05-20 |
| 1861027286 | Permian Basin Anesthesia P.l.l.c. | Anesthesiology | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-03-05 |
| 1518599869 | Aruna Maharjan | Nurse Anesthetist, Certified Registered | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-02-05 |
| 1225669476 | Kristian Nicole Whitley | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-27 |
| 1598305344 | Salem Physicians | Hospitalist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-09 |
| 1437790284 | Ana Maria Rodriguez | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2019-10-02 |
| 1912485590 | Bridget Leann Winn | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 | 2018-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315587 | Mia Centauri Marshall | Pediatrics | 4214 Andrews Hwy Fl 6, Midland, TX 79703-4822 | 2017-06-06 |
| 1548556228 | Celecia Byfield | Pediatrics | 2500 Delano Ave Fl 1, Midland, TX 79701-6357 | 2011-06-21 |
| 1841594165 | Sudhi Agrawal | Pediatrics | 4475 Hackberry Ct, Midland, TX 79707-1614 | 2010-12-29 |
| 1174783641 | Barbara Jean Wood | Pediatrics | 3415 Caldera Blvd, Midland, TX 79707-2825 | 2008-06-09 |
| 1346416542 | Wf Ballesteros Md | Pediatrics | 3901 Fairwood Ct, Midland, TX 79707-1428 | 2008-05-07 |
| 1043484934 | Adam John Hamilton | Pediatrics | 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640-6125 | 2008-04-22 |
| 1427239078 | W Ballesteros Ltd LLP | Pediatrics | 5304 Castle Pine Rd, Midland, TX 79707-3204 | 2007-11-23 |
| 1124218847 | Premier Family Care I, Inc. | Pediatrics | 1900 W. Wall, Suite A, Midland, TX 79701-6534 | 2007-07-30 |
| 1093928913 | Chandan Mazumder | Pediatrics | 1900 W Wall St Ste C, Midland, TX 79701-6568 | 2007-05-07 |
| 1194813709 | Tareq Hulali | Pediatrics | 3421 Caldera Blvd, Midland, TX 79707-2825 | 2006-10-10 |
| Find all providers in MIDLAND | ||||
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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.