MICHELE JORDAN (NPI# 1982651436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982651436 |
| Entity Type | Individual |
| Full Name | MICHELE JORDAN |
| Credential | M.D |
| Practice Address |
145 N Chalkville Rd Trussville AL 35173-1330 |
| Practice Telephone | 2056613737 |
| Mailing Telephone | 2056613737 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 18368 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TAX ID | 631250657 | 01 |
| AL | 529916720 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174797054 | Michele Jordan | Foster Care Agency | 206 Hollywood Ct N, Kissimmee, FL 34743-7846 | 2008-04-22 |
| 1124419684 | Michele Renee Jordan | Nurse Practitioner | 500 N Rainbow Blvd, Ste. 203, Las Vegas, NV 89107-1082 | 2015-02-05 |
| 1639207012 | Michele D Jordan | Massage Therapist | 341 Ne Lincoln St, Hillsboro, OR 97124-3145 | 2007-02-28 |
| Street Address |
145 N CHALKVILLE RD |
| City | TRUSSVILLE |
| State | AL |
| Zip Code | 35173-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640808 | Jessica Croft Lawler | Nurse Practitioner | 145 N Chalkville Rd, Trussville, AL 35173-1330 | 2019-06-28 |
| 1740585660 | Ronda Phillips Bush | Nurse Practitioner | 145 N Chalkville Rd, Trussville, AL 35173-1330 | 2011-01-25 |
| 1710998901 | Michele Jordan Md PC | Family Medicine | 145 N Chalkville Rd, Trussville, AL 35173-1330 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
| 1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
| 1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
| Find all providers in zip 35173 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700155439 | Family and Pain Management Specialists LLC | General Practice | 4735 Norrel Dr, Suite 105, Trussville, AL 35173-3603 | 2011-12-27 |
| 1073882700 | Wellness and Weight Loss | General Practice | 4735 Norrel Dr, Suite 109, Trussville, AL 35173-3603 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | TRUSSVILLE |
| Zip Code | 35173 |
Please comment or provide details below to improve the information on MICHELE JORDAN.
| 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.