MR. GLEN S. JORDAN (NPI# 1790885341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790885341 |
| Entity Type | Individual |
| Full Name | MR. GLEN S. JORDAN |
| Credential | PA-C |
| Practice Address |
1340 Hal Greer Boulevard Cabell Huntington Hospital, Inc Huntington WV 25701 |
| Mailing Address |
1340 Hal Greer Blvd Cabell Huntington Hospital, Inc Huntington WV 25701-3800 |
| Practice Telephone | 3043996727 |
| Practice Fax Number | 3043996726 |
| Mailing Telephone | 3043996727 |
| Mailing Fax Number | 3043996726 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2009-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01222 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE RR | P00711764 | 01 |
| Street Address |
1340 HAL GREER BOULEVARD CABELL HUNTINGTON HOSPITAL, INC |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143755 | Kevin M. Franks | Emergency Medicine | 1340 Hal Greer Boulevard, Cabell Huntington Hospital, Huntington, WV 25701-3800 | 2005-12-01 |
| 1811224165 | Rebecca Gail Stokes | Nurse Practitioner | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2009-11-06 |
| 1467650366 | Khalil Abulatifa | Internal Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-07-03 |
| 1184838906 | Shannon K Watts | Family Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-05-10 |
| 1013069046 | Bobby Lee Marcum | Nurse Practitioner | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-01-18 |
| 1326068503 | Thomas E. Hamilton | Emergency Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-07-20 |
| 1891759031 | James R Bailes Jr. | Pediatrics | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447400031 | Darci Nicole Barger | Physician Assistant | 422 Kinetic Park Dr., Suite B Huntington Dermatology Inc., Huntington, WV 25701 | 2008-09-19 |
| 1508920612 | Michelle Beth Mesh | Physician Assistant | 755 New York Ave Ste 250, Huntington, NY 11743-4285 | 2006-12-21 |
| 1881791242 | Jessica Erin Rulen-riddle | Physician Assistant | 2860 Third Avenue, Suite 210, Huntington, WV 25702-1453 | 2006-09-20 |
| 1336174697 | Steven F Nelson | Physician Assistant | 2900 First Ave First Floor, The Center for Pain Relief Tri State Pllc, Huntington, WV 25702 | 2006-07-12 |
| 1356374110 | Mary J Bayne | Physician Assistant | Vamc 1540 Spring Valley Dr, Huntington, WV 25704 | 2006-07-07 |
| 1275597213 | Christopher Andrew Finnegan | Physician Assistant | 7 Lawrence Hill Rd, Huntington, NY 11743-3143 | 2006-04-14 |
| 1245228501 | Kara Darlene Carpenter | Physician Assistant | 2 Stonecrest Dr, Huntington, WV 25701-9391 | 2005-10-11 |
| 1588031561 | Maguire Miller | Physician Assistant | 270 Park Ave, Huntington, NY 11743-2787 | 2015-08-26 |
| 1265704845 | Aaron Amburgey | Physician Assistant | 2828 1st Ave Ste 200, Huntington, WV 25702-1236 | 2012-01-30 |
| 1033499322 | Ashley Jo Clay | Physician Assistant | 2860 Third Avenue, Suite 210, Huntington, WV 25702-1453 | 2011-08-18 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on MR. GLEN S. 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.