MR. GERALD STEPHEN JORDAN JR. (NPI# 1952321184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952321184 |
| Entity Type | Individual |
| Full Name | MR. GERALD STEPHEN JORDAN JR. |
| Credential | ATC |
| Practice Address |
1417 Maple St Cleveland MS 38733-0001 |
| Mailing Address |
Dsu Po Box 683 Cleveland MS 38733-0001 |
| Practice Telephone | 6628464300 |
| Practice Fax Number | 6628464297 |
| Mailing Telephone | 6628464300 |
| Mailing Fax Number | 6628464297 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0328 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875092 | Gerald Mark Jordan | Chiropractor | 222 Main Street, New Paltz, NY 12561 | 2007-05-01 |
| 1427038272 | Gerald H Jordan | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2006-01-18 |
| Street Address |
1417 MAPLE ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38733-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290211 | Roger Douglas Tollison | Specialist/Technologist | 1417 Maple St, Cleveland, MS 38732-2415 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083184311 | Abby Havard | Specialist/Technologist | Dsu Box A3, Cleveland, MS 38733 | 2018-11-29 |
| 1659588804 | Matthew Reed Buckley | Counselor | Highway 8 Ewing 337, Delta State University, Cleveland, MS 38733 | 2007-05-17 |
| 1457371270 | Robert Hunter Moore | Specialist/Technologist | 1713 Maple St, Cleveland, MS 38733 | 2006-07-21 |
| 1013225663 | Jemecia N. Calvin | Counselor | 1003 W Sunflower Rd, Ewing Hall Room 338-delta State University, Cleveland, MS 38733-0001 | 2010-09-16 |
| 1700343118 | Kristen Bridgewater | Specialist/Technologist | 1003 W Sunflower Rd, Cleveland, MS 38733-0001 | 2019-02-22 |
| 1730467648 | Delta State University | Clinic/Center | 1003 W Sunflower Rd, Cleveland, MS 38733-0001 | 2011-07-26 |
| 1871936716 | Forever Youthful Adult Educational and Recreational Center | Clinic/Center | 149 East Peeler Ave, Shaw, MS 38733-1053 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1760083794 | Susan Carol Flatt | Behavior Technician | 415 Heritage Hills Cir Ne, Cleveland, TN 37323-5156 | 2020-11-05 |
| 1326649427 | Brooke Iames | Prosthetist | 2182 W 38th St Uppr, Cleveland, OH 44113-3833 | 2020-11-04 |
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| Find all providers in CLEVELAND | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| 1922624733 | Qiana Lanette Jones | Specialist/Technologist | 3549 E 118th St, Cleveland, OH 44105-1863 | 2020-06-18 |
| 1861023475 | Steven Bondor | Specialist/Technologist | 4561 Admiral Dr, Cleveland, OH 44109-3701 | 2020-02-01 |
| 1477112936 | Brianna Lee Pruitt | Specialist/Technologist | 2600 Highway 129 N, Cleveland, GA 30528-2710 | 2019-06-10 |
| 1306310487 | Kelsey Ivancic | Specialist/Technologist | 2121 Euclid Ave Bldg Sb6, Cleveland, OH 44115-2214 | 2019-01-11 |
| 1063985331 | Ashlyn Brooke Atnip | Specialist/Technologist | 441 Rainbow Cir, Cleveland, GA 30528-3274 | 2019-01-09 |
| 1407326507 | Jessica Ann Boiner | Specialist/Technologist | 1762 Crawford Rd, Cleveland, OH 44106-2028 | 2018-11-30 |
| 1083184311 | Abby Havard | Specialist/Technologist | Dsu Box A3, Cleveland, MS 38733 | 2018-11-29 |
| 1407322746 | Makayla Deshea Colbert | Specialist/Technologist | 146 Belle Chase Way Ne, Cleveland, TN 37312-2368 | 2018-10-14 |
| 1578049920 | George Morocco Freeman Sr. | Specialist/Technologist | 1554 E 85th St, Cleveland, OH 44106-3706 | 2018-07-18 |
| Find all providers in CLEVELAND | ||||
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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.