DR. JORDAN LEE NORDQUIST (NPI# 1679835615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679835615 |
| Entity Type | Individual |
| Full Name | DR. JORDAN LEE NORDQUIST |
| Credential | MD |
| Practice Address |
4901 Thompson Pkwy Johnstown CO 80534-6426 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DR.0064502 | CO | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
10033 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 565422 | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 029064 | 01 |
| Street Address |
4901 THOMPSON PKWY |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849282 | Jamison Wade Bohl | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2005-11-28 |
| 1407398159 | Megan Berch-wegner | Pharmacist | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-11-12 |
| 1932552205 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-07-21 |
| 1396097952 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-10-08 |
| 1396003935 | Jennifer Anne Sbicca | Dermatology | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-05-02 |
| 1053681767 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-01-11 |
| 1922325638 | Brandon Wesley Wright | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2010-04-21 |
| 1891925699 | Jinyi Ling | Internal Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2009-07-15 |
| 1417118019 | Giovanna Milagros Garcia | Internal Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2008-06-17 |
| 1285806554 | Louise Marie Walsh | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093978165 | Anseruddin Mohammed | Psychiatry & Neurology | 119 Walnut St, Walnut Plaza, Johnstown, PA 15901-1625 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1023544277 | Paula Riggs | Psychiatry & Neurology | 12469 East 17th Place, Building 400, Aurora, CO 80045 | 2017-05-10 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1669759510 | Foster Winfield Cline Jr. | Psychiatry & Neurology | 5910 S Jellison St, Littleton, CO 80123-3526 | 2011-11-07 |
| 1548490287 | Jadon Ray Webb | Psychiatry & Neurology | 26 W Dry Creek Cir Ste 710, Littleton, CO 80120-8065 | 2009-07-15 |
| 1285879130 | Kristine Rasmussen Dangremond | Psychiatry & Neurology | 2950 Professional Place Suite 115, Pueblo, CO 81004 | 2008-12-06 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1316113947 | Elaine Ann Sandler | Psychiatry & Neurology | 30772 Southview Dr Ste 150, Evergreen, CO 80439-2216 | 2008-05-04 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
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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.