Jordan Tyler Blevins (NPI# 1487175436, PAC ID# 0941571103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487175436 |
| PAC ID by PECOS | 0941571103 |
| Professional Enrollment ID | I20170807000491 |
| Full Name | Jordan Tyler Blevins |
| Organization Legal Name | NEUROLOGICAL ASSOCIATES INC |
| Address |
415 Morris St Suite 400 Charleston WV 25301-1854 |
| Phone Number | 3043443551 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012803083 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 Morris St, Suite 400, Charleston, WV 25301-1854 | 3043443551 | NEUROLOGICAL ASSOCIATES INC |
| Organization Legal Name | NEUROLOGICAL ASSOCIATES INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| R Joseph Crow Iii | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| John P Pierson | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| James S Harman | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Rebecca Miller Bowe | Nurse Practitioner | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Erik James Anderson | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Matthew Phillip Walker | Orthopedic Surgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Amber B Bays | Physical Therapy | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Kylie Perkins Risendal | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Stacie Wright Digman | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| John Orphanos | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Street Address |
415 MORRIS ST SUITE 400 |
| City | CHARLESTON |
| State | WV |
| Zip | 25301-1854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| R Joseph Crow Iii | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| James S Harman | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Rebecca Miller Bowe | Nurse Practitioner | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Erik James Anderson | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Matthew Phillip Walker | Orthopedic Surgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Kylie Perkins Risendal | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Stacie Wright Digman | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| John Orphanos | Neurosurgery | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Adam Nathaniel Hill | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Patrick Allen Anderson | Physician Assistant | Neurological Associates Inc | 415 Morris St, Suite 400, Charleston, WV 25301-1854 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey N Thaxton | Plastic and Reconstructive Surgery | 505 Capitol St, Suite 100, Charleston, WV 25301-1204 | |
| Debra K Beatty | Clinical Social Worker | 600 Shrewsbury St, Suite 7, Charleston, WV 25301-1231 | |
| James White Caudill | Ophthalmology | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Christopher A Stansbury | Optometry | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Caleb Timothy Cart | Optometry | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Jeffrey V Ashley | Family Medicine | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Brittain Mcjunkin | Gastroenterology | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Rose Mary Ayoob | Pediatric Medicine | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Jesse Clanton | General Surgery | West Virginia University Medical Corporation Charleston Division | 501 Morris St, 3rd Floor East, Charleston, WV 25301-1300 |
| Emily Anne Montgomery | Obstetrics/gynecology | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Find all physicians in zip 25301 | |||
| City | CHARLESTON |
| Zip Code | 25301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jordan Tyler Blevins.
| 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.