Jordan S Cruz (NPI# 1700235249, PAC ID# 4587955182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700235249 |
| PAC ID by PECOS | 4587955182 |
| Professional Enrollment ID | I20160628002239 |
| Full Name | Jordan S Cruz |
| Organization Legal Name | SOUTH LOUISIANA ENT, FACIAL PLASTIC AND HAIR RESTORATION, APMC |
| Address |
1420 N Causeway Blvd Mandeville LA 70471-3104 |
| Phone Number | 9853275905 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375738099 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190045 | ST TAMMANY PARISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1420 N Causeway Blvd, Mandeville, LA 70471-3104 | 9853275905 | SOUTH LOUISIANA ENT, FACIAL PLASTIC AND HAIR RESTORATION, APMC |
| Organization Legal Name | SOUTH LOUISIANA ENT, FACIAL PLASTIC AND HAIR RESTORATION, APMC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Rose Ledet Corneille | Qualified Audiologist | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1258 Brownswitch Rd, Suite A, Slidell, LA 70461-1606 |
| Jonathan Edward Sorrel | Otolaryngology | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| Jorge H Martinez | Qualified Audiologist | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| Jason Guillot | Plastic and Reconstructive Surgery | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| James Lapeyre Connolly | Otolaryngology | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 16038 Doctors Blvd, Hammond, LA 70403-1478 |
| Street Address |
1420 N CAUSEWAY BLVD |
| City | MANDEVILLE |
| State | LA |
| Zip | 70471-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Edward Sorrel | Otolaryngology | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| Jorge H Martinez | Qualified Audiologist | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| Jason Guillot | Plastic and Reconstructive Surgery | South Louisiana Ent, Facial Plastic and Hair Restoration, Apmc | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobette M Laurendine | Clinical Social Worker | 4038 Desoto St, Mandeville, LA 70471-1804 | |
| Joseph E Tusa | Family Practice | Lmchh PCp LLC | 2190 N Causeway Blvd, Mandeville, LA 70471-1807 |
| David A Levy | Nurse Practitioner | Lmchh PCp LLC | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 |
| Michele Mixon | Clinical Social Worker | Michele Mixon Caputo, Lcsw | 2244 11th St, Mandeville, LA 70471-1824 |
| Nancy Dominick Gravel | Chiropractic | 2201 11th St, Suite 1, Mandeville, LA 70471-1830 | |
| James M Mccue | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Jeffrey C. Marston | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Brenton G Schulz | Chiropractic | 3701 Hwy 59 D, Mandeville, LA 70471-1905 | |
| Hilary Stephen Watson | Urology | 1665 Dove Park Rd, Suite 700, Mandeville, LA 70471-1929 | |
| Melissa M Hoffmann | Chiropractic | 3933 Hwy 59, Suite A, Mandeville, LA 70471-1958 | |
| Find all physicians in zip 70471 | |||
| City | MANDEVILLE |
| Zip Code | 70471 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANDEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jordan S Cruz.
| 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.