ANTOINE JORDAN (NPI# 1962850305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962850305 |
| Entity Type | Individual |
| Full Name | ANTOINE JORDAN |
| Practice Address |
757 Saxony Dr Irmo SC 29063-7108 |
| Mailing Address |
757 Saxony Drive Irmo SC 29063 |
| Practice Telephone | 8034453396 |
| Mailing Telephone | 8034453396 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255524443 | Antoine D Jordan | Physical Therapist | 124 Loughridge Dr, Beaver Falls, PA 15010-1422 | 2007-08-22 |
| Street Address |
757 SAXONY DR |
| City | IRMO |
| State | SC |
| Zip Code | 29063-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043389844 | Fredrick Sutton | Specialist | 15 Beech Branch Ct, Irmo, SC 29063-8046 | 2006-11-07 |
| 1972930071 | Cedric Michael Luckey | Specialist | 355 Ridge Run Trl, Irmo, SC 29063-8667 | 2013-10-03 |
| 1154539278 | Advanced Pain Therapies, LLC | Specialist | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2007-05-21 |
| 1871701029 | Hartsville Anesthesia Associates | Specialist | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2007-05-20 |
| 1740402593 | Ray A Sansbury | Specialist | 7588 Woodrow St, Irmo, SC 29063-2874 | 2007-05-02 |
| 1528182664 | Midlands Gastroenterology,p.c. | Specialist | 1 Wellness Blvd, Suite #110, Irmo, SC 29063-2872 | 2007-03-16 |
| 1194839969 | David L Kulbersh | Specialist | 1 Wellness Blvd, Suite 203, Irmo, SC 29063-2871 | 2006-08-18 |
| 1508880568 | Marc S Todd | Specialist | 7941 Broad River Rd, Irmo, SC 29063-2358 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977902 | Angela Bussey Washington | Specialist | 109 W Buena Vista Ave, North Augusta, SC 29841-3832 | 2020-06-21 |
| 1821630492 | Renell Nesbitt | Specialist | 818 Tom Hall St Ste 110, Fort Mill, SC 29715-2046 | 2019-10-15 |
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1770049801 | Medical Revenue Services | Specialist | 82 Monte Sano Dr Ste 2, Hanahan, SC 29410-8618 | 2019-02-13 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1942741087 | James P Ceglie | Specialist | 400 Se Main St, Simpsonville, SC 29681-2689 | 2017-03-08 |
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
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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.