JORDAN DEREK STEELS (NPI# 1720608680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720608680 |
| Entity Type | Individual |
| Full Name | JORDAN DEREK STEELS |
| Credential | PA-C |
| Practice Address |
10730 Ketchum Valley Dr Riverview FL 33579-7185 |
| Mailing Address |
5830 Memorial Hwy Apt 1112 Tampa FL 33615-5062 |
| Practice Telephone | 8133314465 |
| Mailing Telephone | 4237159634 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10730 KETCHUM VALLEY DR |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33579-7185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740337096 | Nikhil H Patel | Physical Medicine & Rehabilitation | 10730 Ketchum Valley Dr, Riverview, FL 33579 | 2007-01-05 |
| 1306401559 | Nicole Dion Ursch | Physician Assistant | 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2019-05-02 |
| 1205249026 | Interventional Pain Specialists of Southwest Florida, LLC | Pain Medicine | 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2014-06-09 |
| 1487861498 | Rodney David Rodrigo | Physical Medicine & Rehabilitation | 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912505 | Joanna Johnson | Developmental Therapist | 10910 Keys Gate Drive, Riverview, FL 33579 | 2020-05-05 |
| 1255815114 | Advanced Dental Care of Riverview Pllc | Clinic/Center | 13018 S Us Highway 301, Riverview, FL 33579 | 2018-09-18 |
| 1265920078 | Takashi Dixon | Dentist | 10625 Big Bend Rd, Riverview, FL 33579 | 2018-04-26 |
| 1821513243 | Marie Evens Murat | Registered Nurse | 12718 Lovers Lane, Riverview, FL 33579 | 2017-08-07 |
| 1467907857 | Dorothy Araujo | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579 | 2016-08-16 |
| 1134571128 | Tampa Institute for Pain and Spine, LLC | Anesthesiology | 13140 Elk Mountain Dr, Suite B, Riverview, FL 33579 | 2016-07-01 |
| 1669832242 | Shawn Mckeag | Speech-Language Pathologist | 11838 Newberry Grove Loop, Riverview, FL 33579 | 2016-02-25 |
| 1902202377 | Jose Gerena | Adult Companion | 11325 Village Brook Dr, Riverview, FL 33579 | 2014-11-13 |
| 1912259409 | Brandi L Torres | Nurse Practitioner | 10729 Queens Town Drive, Riverview, FL 33579 | 2012-10-08 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| Find all providers in zip 33579 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275009631 | Michelle Nicole Hinson | Physician Assistant | 13134 Early Run Ln, Riverview, FL 33578-3387 | 2018-10-23 |
| 1962569467 | Kathleen Farquhar | Physician Assistant | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2007-01-03 |
| 1184288722 | Julia Sangiovanni | Physician Assistant | 7229 Us Highway 301 S, Riverview, FL 33578-4346 | 2019-04-29 |
| 1972989713 | Riverview Medical, Inc | Physician Assistant | 10732 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2015-08-04 |
| 1942520119 | Amy Van Dusen | Physician Assistant | 18580 Fort St, Riverview, MI 48193-7442 | 2010-06-10 |
| 1861727695 | Brianne Michelle Hauser | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2009-10-13 |
| 1164513362 | Sandra K Aldridge | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2006-09-27 |
| 1447341060 | Karen E Pfander | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2006-09-27 |
| 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 | ||||
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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.