MR. JORDAN CHRISTOPHER SMALLWOOD (NPI# 1902078066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902078066 |
| Entity Type | Individual |
| Full Name | MR. JORDAN CHRISTOPHER SMALLWOOD |
| Credential | M.D. |
| Practice Address |
1717 S Orange Ave Suite #100 Orlando FL 32806-2944 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 4076507000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME 116755 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407390396 | Jordan Smallwood | Counselor | 1023 Pittsburgh Rd, Uniontown, PA 15401-8407 | 2016-12-12 |
| Street Address |
1717 S ORANGE AVE SUITE #100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027867 | Wadih S. Macksoud | Orthopaedic Surgery | 1717 S Orange Ave, #103, Orlando, FL 32806-2944 | 2005-07-15 |
| 1700379385 | Children's Eyewear Center, Inc | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806 | 2018-06-08 |
| 1255838462 | Mark Vincent Mandese | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2018-04-12 |
| 1700325693 | Daniela Galvez Moreno | Behavioral Analyst | 1717 S Orange Ave, Orlando, FL 32806 | 2017-02-13 |
| 1194108928 | Krisann Draves | Nurse Practitioner | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 | 2015-06-29 |
| 1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
| 1609287481 | Maggie Hodges | Physical Medicine & Rehabilitation | 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 | 2014-05-14 |
| 1619394384 | Aimee Molineaux | Dietitian, Registered | 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 | 2014-03-19 |
| 1508298407 | Sandra Karen Conrad | Dietitian, Registered | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2013-08-01 |
| 1841635463 | Michelle P Tellado | General Practice | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
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| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386078814 | Shreya N Patel | Allergy & Immunology | 5385 Conroy Rd Ste 104, Orlando, FL 32811-3719 | 2013-09-03 |
| 1760405203 | Santiago Martinez | Allergy & Immunology | 12315 Lake Underhill Rd Ste A, Orlando, FL 32828-4507 | 2006-07-25 |
| 1558382119 | Santiago E. Martinez, M.d., Pa | Allergy & Immunology | 12315 Lake Underhill Rd, Orlando, FL 32828-4507 | 2006-07-21 |
| 1346631041 | Vahe N. Zarikian, M.d. | Allergy & Immunology | 6388 Silver Star Rd, Suite 2-d, Orlando, FL 32818-3235 | 2015-02-17 |
| 1972879229 | Aishah Ali | Allergy & Immunology | 9975 Tavistock Lakes Blvd Ste 360, Orlando, FL 32827 | 2012-03-30 |
| 1326364811 | Stephen Dinetz | Allergy & Immunology | 13535 Nemours Pkwy, Orlando, FL 32827 | 2010-04-09 |
| 1447378054 | Windermere Allergy & Asthma,inc | Allergy & Immunology | 8946 Conroy Windermere Rd, Orlando, FL 32835-3128 | 2007-03-26 |
| 1861508285 | Vahe Nazar Zarikian | Allergy & Immunology | 6388 Silver Star Rd, Suite 2d, Orlando, FL 32818-3235 | 2006-08-21 |
| 1982618385 | Alexander Trien Vu | Allergy & Immunology | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1528604253 | Mark Minor Md Pa | Allergy & Immunology | 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 | 2019-11-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
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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.