JORDAN PHYSICIAN ASSOCIATES, INC. (NPI# 1861851651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861851651 |
| Entity Type | Organization |
| Organization Name | JORDAN PHYSICIAN ASSOCIATES, INC. |
| Other Organization Name | BIDH-PLYMOUTH ANESTHESIA |
| Practice Address |
275 Sandwich St Plymouth MA 02360-2183 |
| Practice Telephone | 5087462000 |
| Practice Fax Number | 5088301131 |
| Mailing Telephone | 5087462000 |
| Mailing Fax Number | 5088301131 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | CATHERINE J GREY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5088302401 |
| Is Organization Subpart | Y |
| Parent Organization Name | JORDAN PHYSICIAN ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110072193V | 05 |
| Other Name | Type Code |
|---|---|
| BIDH-Plymouth Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194263186 | Jordan Physician Associates, Inc. | Pathology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2017-02-09 |
| 1124562483 | Jordan Physician Associates, Inc. | Radiology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2016-12-06 |
| 1538145131 | Jordan Physician Associates, Inc. | Internal Medicine | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-12-16 |
| Street Address |
275 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| 1043879273 | Sarah Blais | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-06-11 |
| 1023572021 | Jessica M Olson | Advanced Practice Midwife | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-01-24 |
| 1275005134 | Victoria Turaman | Registered Nurse | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-12-17 |
| 1164907564 | Bethany Ison | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-10-02 |
| 1205319837 | Laurie Gilburne | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-10 |
| 1386126589 | Pamela Wood | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-04 |
| 1255819744 | Amy Jorud | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-08-06 |
| 1528544772 | Michaela Jean Butler | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-07-11 |
| 1407354087 | Shelby Lynne Sullivan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649540543 | Yih Cheng Wu | Anesthesiology | 12245 Beacon Hill Dr, Plymouth, MI 48170-3002 | 2012-01-09 |
| 1518925882 | Jon Tomasson | Anesthesiology | 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 | 2006-05-03 |
| 1265881494 | Adrian Coon | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-06-08 |
| 1992169403 | John William Kelsey | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-04-11 |
| 1144682394 | Kathryn Rose Teague | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-03-27 |
| 1629445978 | Guardian Anesthesia Inc. | Anesthesiology | 275 Sandwich St, Guardian Anesthesia Inc., Plymouth, MA 02360-2183 | 2015-08-21 |
| 1356723639 | Jessica Kaitlyn Macentee | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-06-23 |
| 1568844900 | Harrison Wurster | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-06-22 |
| 1609258318 | Reid Franklin Johnson | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-06-18 |
| 1417344839 | Anna E Berglund | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-04-23 |
| Find all providers in PLYMOUTH | ||||
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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.