MS. MICHELLE LYNNE JORDAN (NPI# 1649440520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649440520 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE LYNNE JORDAN |
| Credential | PA-C |
| Practice Address |
11528 Us Highway 19 Port Richey FL 34668-1442 |
| Practice Telephone | 7278682151 |
| Practice Fax Number | 8139944835 |
| Mailing Telephone | 7278682151 |
| Mailing Fax Number | 8139944835 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | PA9104461 | FL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104461 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11034 Spring Hill Dr, Spring Hill, FL 346085048 | 3526886228 | |
| 9238 Us Highway 19, Port Richey, FL 346684853 | 7278682151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497129340 | Michelle R Jordan | Nurse Practitioner | 1645 Kearney Rd, Excelsior Springs, MO 64024-1753 | 2015-11-16 |
| 1962040519 | Michelle Jordan | Physical Therapy Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-13 |
| 1730726654 | Michelle M Jordan | Counselor | 201 W Plymouth Ave, Deland, FL 32720-2753 | 2019-12-10 |
| 1265995781 | Michelle Kraay Jordan | Radiology | 251 E Huron St, Chicago, IL 60611 | 2019-04-11 |
| 1427548312 | Michelle Marie Jordan | Social Worker | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-05-16 |
| 1467903047 | Michelle Jordan | Speech-Language Pathologist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2016-10-19 |
| 1477912046 | Michelle Christine Jordan | Physician Assistant | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2016-02-11 |
| 1881051969 | Michelle Jordan | Physician Assistant | 676 E Swedesford Rd, Wayne, PA 19087-1612 | 2016-01-21 |
| 1003211038 | Michelle D Jordan | Physical Therapist | 211 Ana Dr, Florence, AL 35630-1768 | 2014-11-04 |
| 1992143309 | Michelle Pendarvis Jordan | Speech-Language Pathologist | 7900 Broad River Rd, Irmo, SC 29063-2355 | 2013-06-07 |
| Street Address |
11528 US HIGHWAY 19 |
| City | PORT RICHEY |
| State | FL |
| Zip Code | 34668-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749131 | Edward A Capone | Family Medicine | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2005-06-09 |
| 1700336781 | Bradley S Ruch | Nurse Practitioner | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2016-10-13 |
| 1265987176 | Natalie Patrick-brown | Nurse Practitioner | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2016-08-20 |
| 1760832315 | Steven L Shaver Jr. | Internal Medicine | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2016-06-14 |
| 1689023228 | Hamish Sunil Patel | Internal Medicine | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2016-06-04 |
| 1063882975 | Sonia Elizabeth Ceranek | Physician Assistant | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2015-10-05 |
| 1174920896 | Christine Michelle Fisher | Nurse Practitioner | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2014-11-24 |
| 1588078489 | Jeffrey W Williams | Physician Assistant | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2014-06-18 |
| 1609168830 | Daniel Velasco | Mechanotherapist | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2011-05-05 |
| 1750680492 | Faylise Cecile James | Nurse Practitioner | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287296 | Manuel Dejesus Correa | Counselor | 9550 Us19 Ste. 202, Port Richey, FL 34668 | 2018-09-04 |
| 1679069256 | Linda Elaine Harper Gorski | Counselor | 6745 Vinanta Ct, Port Richey, FL 34668 | 2018-07-06 |
| 1477063378 | Michelle Jean Ebbert | Hearing Instrument Specialist | 9304 U.S. Hwy N., Port Richey, FL 34668 | 2017-10-05 |
| 1013426618 | Arlene Taylor | Social Worker | 9550 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1285143925 | Pa Group Inc | Pharmacy | 11618 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1467971978 | Marie Waite | Social Worker | Marie Waite, 7403 Bougenville Drive, Port Richey, FL 34668 | 2017-09-15 |
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1336405109 | Staywell Pharmacy Inc. | Pharmacy | 10112 Us Hwy 19, Port Richey, FL 34668 | 2012-04-06 |
| 1821247925 | Milton Rivera | Licensed Practical Nurse | 7701 Arbordale Dr., Port Richey, FL 34668 | 2008-09-12 |
| 1518131424 | Syrnix, Inc | Durable Medical Equipment & Medical Supplies | 7200 San Miguel Dr, Port Richey, FL 34668 | 2008-04-22 |
| Find all providers in zip 34668 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588078489 | Jeffrey W Williams | Physician Assistant | 11528 Us Highway 19, Port Richey, FL 34668-1442 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT RICHEY |
| Zip Code | 34668 |
Please comment or provide details below to improve the information on MS. MICHELLE LYNNE JORDAN.
| 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.