JORDAN WAGNER (NPI# 1558870881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558870881 |
| Entity Type | Individual |
| Full Name | JORDAN WAGNER |
| Credential | PA-C |
| Practice Address |
2975 Roslyn St Denver CO 80238-3325 |
| Mailing Address |
1955 Ulster St Apt 154 Denver CO 80220-2059 |
| Practice Telephone | 3033997900 |
| Mailing Telephone | 7203239642 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0005058 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760939136 | Jordan Ann Wagner | Specialist/Technologist | 3351 Fallston Rd, Fallston, MD 21047-1020 | 2016-09-02 |
| 1447713185 | Jordan Jay Wagner | Pharmacist | 2350 Hospital Dr, Webster City, IA 50595-6600 | 2019-04-10 |
| 1558590679 | Jordan Wagner | Emergency Medicine | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2009-07-10 |
| 1831383074 | Jordan M Wagner | Family Medicine | 2002 S 11th St, Niles, MI 49120-4074 | 2007-08-30 |
| Street Address |
2975 ROSLYN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80238-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277514 | Brandon Scott Davison Tracy | Pediatrics | 2975 Roslyn St, Suite 100, Denver, CO 80238-3326 | 2005-12-23 |
| 1184065120 | Kara Michelle Lampe | Physician Assistant | 2975 Roslyn St, Suite 100, Denver, CO 80238-3325 | 2013-07-06 |
| 1598057820 | Melanie M Mcdonald Meyer | Physician Assistant | 2975 Roslyn St, Denver, CO 80238-3325 | 2011-05-04 |
| 1063703437 | Noriko Saito Rothberg | Clinical Nurse Specialist | 2975 Roslyn St, Denver, CO 80238-3325 | 2011-04-20 |
| 1346471364 | Robyn Lee Smith | Physician Assistant | 2975 Roslyn St, Suite 100, Denver, CO 80238-3325 | 2009-08-07 |
| 1962694166 | Stapleton Pediatrics, P.C. | Pediatrics | 2975 Roslyn St, Suite 100, Denver, CO 80238-3325 | 2007-08-13 |
| 1104911874 | Noah J Makovsky | Pediatrics | 2975 Roslyn St, Suite 100, Denver, CO 80238-3326 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1588115059 | Joshua Dollins Pasley | Physician Assistant | 955 Lawrence St, Plaza Building, Suite 150, Denver, CO 80217 | 2016-10-20 |
| 1730558172 | Hannah Mcnally | Physician Assistant | 1719 E 19th Ave # 300, Denver, CO 80218-1235 | 2015-09-16 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1811331812 | Josephine Frances Dennison | Physician Assistant | 3333 Regis Blvd F-12, Denver, CO 80221-1099 | 2013-04-20 |
| 1184967234 | Ryan Christopher Merson | Physician Assistant | 1960 North Ogden Street, Suite 110, Denver, CO 80218-3667 | 2013-03-27 |
| 1255675187 | Staci Lynn Palmore | Physician Assistant | 2000 S. Colorado Blvd, Tower 1 Suite 4500, Denver, CO 80222 | 2012-11-15 |
| 1518211051 | Jordan Michael Mast | Physician Assistant | 950 East Harvard Ave Ste 570, Denver, CO 80210-7003 | 2012-11-06 |
| 1578852463 | Susan Franta | Physician Assistant | 810 Krameria St, Denver, CO 80220-4615 | 2011-03-31 |
| Find all providers in DENVER | ||||
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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.