DR. JORDAN ELIZABETH TOMAN (NPI# 1710142237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710142237 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ELIZABETH TOMAN |
| Credential | M.D. |
| Practice Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9209654055 |
| Practice Fax Number | 9204055388 |
| Mailing Telephone | 9209654055 |
| Mailing Fax Number | 9204055388 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2018-01058 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
62956 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 827790 | 05 |
| Street Address |
164 N BROADWAY |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808676 | Benjamin E Phillips | Ophthalmology | 164 N Broadway, Green Bay, WI 54303-2728 | 2005-08-18 |
| 1932410461 | Ngassa A Mssika | Physician Assistant | 164 N Broadway, Green Bay, WI 54303-2728 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306882394 | Wolfgang F Dahnert | Radiology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357572 | Medical Care Specialists, Inc. | Radiology | 2665 S Moorland Rd, #208, New Berlin, WI 53151-2900 | 2005-12-22 |
| 1154809390 | Pinpoint Diagnostic Soundwaves Imaging, LLC | Radiology | 725 Heartland Trl Ste 205, Madison, WI 53717-1966 | 2018-07-31 |
| 1811231509 | Vpa PC | Radiology | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2012-11-19 |
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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.