Jeffrey Paul Jordan (NPI# 1770890055, PAC ID# 4688857238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770890055 |
| PAC ID by PECOS | 4688857238 |
| Professional Enrollment ID | I20110321000257 |
| Full Name | Jeffrey Paul Jordan |
| Organization Legal Name | NORTHEAST OHIO VASCULAR ASSOCIATES INC |
| Address |
36060 Euclid Ave Suite 107 Willoughby OH 44094-4656 |
| Phone Number | 4402698346 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961452305 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| 360082 | EUCLID HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 | 4402698346 | NORTHEAST OHIO VASCULAR ASSOCIATES INC |
| Organization Legal Name | NORTHEAST OHIO VASCULAR ASSOCIATES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Littleton Rollins | Vascular Surgery | Northeast Ohio Vascular Associates Inc | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 |
| Michelle A Cramp | Nurse Practitioner | Northeast Ohio Vascular Associates Inc | 8007 Auburn Rd, Suite 1, Painesville, OH 44077-9600 |
| Street Address |
36060 EUCLID AVE SUITE 107 |
| City | WILLOUGHBY |
| State | OH |
| Zip | 44094-4656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Keum | Pain Management | 36060 Euclid Ave, Suite 101, Willoughby, OH 44094-4661 | |
| James M Persky | Vascular Surgery | Lake Hospital System, Inc. | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4661 |
| Mitchell E Nahra | Orthopedic Surgery | Lake Orthopaedic Associates, Inc. | 36060 Euclid Ave, Suite 104, Willoughby, OH 44094-4656 |
| Sherry N Palmer | Nurse Practitioner | Lake Hospital System, Inc. | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4661 |
| David Littleton Rollins | Vascular Surgery | Northeast Ohio Vascular Associates Inc | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 |
| Jaye E Benjamin | Dermatology | 36060 Euclid Ave, Suite 202, Willoughby, OH 44094-4661 | |
| David M Hutt | Infectious Disease | Id Consultants, Inc | 36060 Euclid Ave, Suite 109, Willoughby, OH 44094-4661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Lauren Mistur | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lisa E Meek | Internal Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Kirsten T Lynch | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Christi D Woods | Emergency Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Mikhenan M Horvath | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Miesha Merati | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Meredith S Reimer | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lydia Parker | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Gregory P Kezele | Family Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Michelle Ann Lieb | Optometry | For Your Eyes Only, Inc | 5900 Som Ctr Rd, Suite 19, Willoughby, OH 44094-3044 |
| Find all physicians in zip 44094 | |||
| City | WILLOUGHBY |
| Zip Code | 44094 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLOUGHBY + 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.