Jordan Davis Maloney (NPI# 1093287583, PAC ID# 4183962418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093287583 |
| PAC ID by PECOS | 4183962418 |
| Professional Enrollment ID | I20190213000027 |
| Full Name | Jordan Davis Maloney |
| Organization Legal Name | ERNESTO J F GRAHAM MD PA |
| Address |
1521 Owen Park Ln Fayetteville NC 28304-3454 |
| Phone Number | 9102237420 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335203124 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1521 Owen Park Ln, Fayetteville, NC 28304-3454 | 9102237420 | ERNESTO J F GRAHAM MD PA |
| Organization Legal Name | ERNESTO J F GRAHAM MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Locklear Clark | Physician Assistant | Ernesto J F Graham Md Pa | 1521 Owen Park Ln, Fayetteville, NC 28304-3454 |
| Ernesto J F Graham | Obstetrics/gynecology | Ernesto J F Graham Md Pa | 1521 Owen Park Ln, Fayetteville, NC 28304-3454 |
| Street Address |
1521 OWEN PARK LN |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Locklear Clark | Physician Assistant | Ernesto J F Graham Md Pa | 1521 Owen Park Ln, Fayetteville, NC 28304-3454 |
| Ernesto J F Graham | Obstetrics/gynecology | Ernesto J F Graham Md Pa | 1521 Owen Park Ln, Fayetteville, NC 28304-3454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Davis Maloney.
| 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.