DR. JORDAN TAYLOR VULCANO (NPI# 1861734915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861734915 |
| Entity Type | Individual |
| Full Name | DR. JORDAN TAYLOR VULCANO |
| Credential | DO |
| Practice Address |
1801 S. Crismon Road Suite 191 Mesa AZ 85209 |
| Practice Telephone | 4806215891 |
| Practice Fax Number | 4807044019 |
| Mailing Telephone | 4806215891 |
| Mailing Fax Number | 4807044019 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
007950 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | D01358731 | AZ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 S. Crimson Road, Mesa, AZ 85204 | 4803732370 | 4803732375 |
| 595 N Dobson Rd Ste A15, Chandler, AZ 852244237 | 4803930575 | 4807044019 |
| Street Address |
1801 S. CRISMON ROAD SUITE 191 |
| City | MESA |
| State | AZ |
| Zip Code | 85209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710145974 | Carlos Fernando Zapata Antigoni | Internal Medicine | 3638 East Southern Avenue, C-108, Mesa, AZ 85206-2563 | 2008-05-23 |
| 1548370109 | Shahbaz Qureshi | Internal Medicine | 1810 S Crismon Rd Ste 191, Mesa, AZ 85209-3900 | 2006-08-30 |
| 1063458735 | Sudhakar A Reddy | Internal Medicine | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2006-06-21 |
| 1205878196 | Digestive Disease Consultants PC | Internal Medicine | 6020 E Arbor Avenue, Suite 101, Mesa, AZ 85206 | 2006-06-12 |
| 1790746717 | Philip Gregory Foutch | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-03-29 |
| 1295114932 | Amulya Reddy | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2015-05-27 |
| 1194142166 | Wesley Prichard | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2014-03-27 |
| 1720420557 | Sara Elizabeth Ancello | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2013-07-22 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1619107547 | Desert Gastroenterology Associates Pllc | Internal Medicine | 1520 S Dobson Rd, Suite 212, Mesa, AZ 85202-4725 | 2009-07-27 |
| Find all providers in MESA | ||||
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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.