MS. JORDAN L ROBERTS (NPI# 1750796306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796306 |
| Entity Type | Individual |
| Full Name | MS. JORDAN L ROBERTS |
| Credential | PA-C |
| Practice Address |
11835 9w West Coxsackie NY 12192-3605 |
| Mailing Address |
1417 W Duane Lake Rd Duanesburg NY 12056-2713 |
| Practice Telephone | 5187319000 |
| Mailing Telephone | 5185226813 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954071 | Jordan Allen Roberts | Physical Therapist | 8254 High St Ne, Warren, OH 44484-1923 | 2018-05-31 |
| 1588043871 | Jordan Russell Roberts | Family Medicine | 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117-5093 | 2015-05-20 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1134780125 | Jordan Jacob Roberts | Dentist | 401 Railroad St W, Missoula, MT 59802-4109 | 2019-06-21 |
| 1780045609 | Jordan Elizabeth Roberts | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-03-20 |
| 1457750168 | Jordan Layne Roberts | Case Manager/Care Coordinator | 211b Wayne Street, Columbia, TN 38401 | 2014-08-19 |
| 1356767552 | Jordan Roberts | Marriage & Family Therapist | 30 W Main St, Niantic, CT 06357-2340 | 2014-03-12 |
| 1598024986 | Jordan Andrew Roberts | Pathology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2012-05-07 |
| 1164780151 | Jordan Aaron Roberts | Emergency Medicine | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2012-04-26 |
| Street Address |
11835 9W |
| City | WEST COXSACKIE |
| State | NY |
| Zip Code | 12192-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265928600 | Robert Ordish | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2018-07-09 |
| 1346750965 | Emily Winans | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2017-10-10 |
| 1154870053 | Kathryn Falco | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-10-03 |
| 1972057750 | Charles Kite Jr. | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-08-09 |
| 1477007540 | Margarita Malayeva | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-08-06 |
| 1699127910 | Nicole Elizabeth Riley | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-07-11 |
| 1003293176 | Emily Sue Micca | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433941 | Jolene Marie Yost | Massage Therapist | 11831 Us 9w, West Coxsackie, NY 12192 | 2019-12-09 |
| 1093190555 | Erin Kimberly Smith I | Physical Therapist | 11831 Us-9w, West Coxsackie, NY 12192 | 2015-07-27 |
| 1639402639 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 9 Law Street, West Coxackie, NY 12192 | 2009-09-09 |
| 1477714236 | Marvin A. Gertzberg, D.d.s. | Dentist | 12498 Us Rte 9w, West Coxsackie, NY 12192 | 2008-06-24 |
| 1518091818 | John R Riker Dc Pllc | Chiropractor | 11824 Rt. 9w, Suite 2, W. Coxsackie, NY 12192 | 2007-03-16 |
| 1467520676 | Alan Palmer | Physical Therapist | 11831 Route 9w, W. Coxsackie, NY 12192 | 2006-12-04 |
| 1578709150 | Dawn L Lindberg | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192 | 2009-01-02 |
| 1053703264 | Hudson Valley Foot Associates, LLP | Podiatrist | 28 Hope Plz, W Coxsackie, NY 12192-1225 | 2015-02-25 |
| 1396753398 | Hoerning Pharmacy Inc | Pharmacy | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2006-08-04 |
| 1902215213 | Kellys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 34 Hope Plz, West Coxsackie, NY 12192-1225 | 2014-08-12 |
| Find all providers in zip 12192 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654633 | Kortney Rose Smith | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192-3605 | 2020-09-22 |
| 1265928600 | Robert Ordish | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2018-07-09 |
| 1609369180 | Rachael M Mccormick | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192-3605 | 2018-06-11 |
| 1346750965 | Emily Winans | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2017-10-10 |
| 1972057750 | Charles Kite Jr. | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-08-09 |
| 1003293176 | Emily Sue Micca | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2015-04-28 |
| 1982040887 | Cindy Coons | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192-3605 | 2013-05-17 |
| 1649590365 | Lauren Blaisdell | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192-3605 | 2010-06-03 |
| 1578709150 | Dawn L Lindberg | Physician Assistant | 11835 Rt 9w, West Coxsackie, NY 12192 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST COXSACKIE |
| Zip Code | 12192 |
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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.