JORDAN BEBBER (NPI# 1588097265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588097265 |
| Entity Type | Individual |
| Full Name | JORDAN BEBBER |
| Credential | PA-C |
| Practice Address |
605 Post Office Rd Suite 102 Waldorf MD 20602-1913 |
| Practice Telephone | 3013742666 |
| Mailing Telephone | 3013742666 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C-0005151 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
605 POST OFFICE RD SUITE 102 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083711733 | Adeteju Ogunrinde | Pediatrics | 605 Post Office Rd, Suite 102, Waldorf, MD 20602-1913 | 2006-09-17 |
| 1538515309 | Agent of Change, LLC | Social Worker | 605 Post Office Rd, Suite 301, Waldorf, MD 20602-1913 | 2016-05-10 |
| 1679949416 | Michelle Laporte Jackson | Physician Assistant | 605 Post Office Rd, Suite 102, Waldorf, MD 20602-1913 | 2015-08-17 |
| 1255644423 | Olukemi Antonia Moreira-wilson | Physician Assistant | 605 Post Office Rd, Suite 102, Waldorf, MD 20602-1913 | 2010-07-16 |
| 1801074281 | Yaromyr Oryshkevych | Dentist | 605 Post Office Rd, Suite 203, Waldorf, MD 20602-1913 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013193036 | Jennifer Hilfiker | Physician Assistant | 7 Post Office Rd Ste C, Waldorf, MD 20602-2744 | 2008-01-22 |
| 1972548584 | Shannon L Gilliam | Physician Assistant | 12070 Old Line Ctr Ste 303, Waldorf, MD 20602-3535 | 2006-06-18 |
| 1598028649 | Virginia Noftsier | Physician Assistant | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3706 | 2012-06-22 |
| 1538437223 | Christine T Gardella | Physician Assistant | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2011-12-08 |
| 1649555491 | Margaret C Summers | Physician Assistant | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2011-10-12 |
| 1962793810 | Colleen Ingrid Rita Nanton | Physician Assistant | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-04-27 |
| 1992952949 | Gladys Ann Wilkins | Physician Assistant | 3510 Old Washington Rd, #100, Waldorf, MD 20602-3233 | 2008-08-21 |
| 1003032855 | Chinyere Ngozi Eze | Physician Assistant | 11750 Business Park Dr, Suite 103, Waldorf, MD 20601-2907 | 2007-04-18 |
| 1033237722 | Donna Arthur | Physician Assistant | 3510 Old Washington Rd, Suite 200, Waldorf, MD 20602-3233 | 2007-03-27 |
| 1467595348 | Jacqueline Claire Bragunier | Physician Assistant | 3500 Old Washington Rd, 101, Waldorf, MD 20602 | 2007-02-14 |
| Find all providers in WALDORF | ||||
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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.