Matthew L Jordan (NPI# 1447617139, PAC ID# 0840575791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447617139 |
| PAC ID by PECOS | 0840575791 |
| Professional Enrollment ID | I20170316001074 |
| Full Name | Matthew L Jordan |
| Organization Legal Name | VIBRA PHYSICIANS LLC |
| Address |
2131 S Bonito Way Meridian ID 83642-1659 |
| Phone Number | 2084899500 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921233933 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2131 S Bonito Way, Meridian, ID 83642-1659 | 2084899500 | VIBRA PHYSICIANS LLC |
| Organization Legal Name | VIBRA PHYSICIANS LLC |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgardo A Crisostomo | Neurology | Vibra Physicians LLC | 9509 Georgia St, Crown Point, IN 46307-6518 |
| Linda S Freeman Bosco | Nurse Practitioner | Vibra Physicians LLC | 1200 Hospital Dr, Mount Pleasant, SC 29464-3251 |
| Hector Juan Stella Estevez | Pulmonary Disease | Vibra Physicians LLC | 3528 Gabel Rd, Billings, MT 59102-7307 |
| Dena Montgomery | Nurse Practitioner | Vibra Physicians LLC | 1023 N Belt Line Rd, Mesquite Rehabilitation Institute, Mesquite, TX 75149-1788 |
| Anita Denise Schwab | Nurse Practitioner | Vibra Physicians LLC | 701 N Walnut St, Springfield, IL 62702-4931 |
| June L Jia | Internal Medicine | Vibra Physicians LLC | 10300 Ne Hancock St, Portland, OR 97220-3831 |
| Magdy Badereldin | Physician Assistant | Vibra Physicians LLC | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Albert M Loerinc | Pulmonary Disease | Vibra Physicians LLC | 4499 Acushnet Ave, New Bedford, MA 02745-4707 |
| Boyd F Addy | Family Medicine | Vibra Physicians LLC | 1000 18th St Nw 2nd and 3rd Floors, Mandan, ND 58554-1612 |
| Street Address |
2131 S BONITO WAY |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Jeffery S Dzieczkowski | Internal Medicine | Apogee Medical Group Idaho PC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Nirmal B Charan | Sleep Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Joshua Gardner Stroh | Chiropractic | 1326 N Main St, Meridian, ID 83642-1703 | |
| John E Whalen Jr. | Chiropractic | 1326 N Main St, Meridian, ID 83642-1703 | |
| Richard P Sampson | Chiropractic | 1504 N Main St, Meridian, ID 83642-1707 | |
| Arthur C Jones Iv | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 3041 E Copper Point Dr, Meridian, ID 83642-1740 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.