Allison E Jordan (NPI# 1215198601, PAC ID# 5193980191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.
| Nation Provider ID (NPI) | 1215198601 |
| PAC ID by PECOS | 5193980191 |
| Professional Enrollment ID | I20161101001389 |
| Full Name | Allison E Jordan |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Address |
1225 Graham Rd Suite 1340 Florissant MO 63031-8019 |
| Phone Number | 3149536093 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2008 |
| Primary Specialty | HOSPICE/PALLIATIVE CARE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800784083 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 1 Memorial Dr, Suite 1, Alton, IL 62002-6722 | 6184337066 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 | 3149536093 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| 11133 Dunn Rd, Suite 2427, Saint Louis, MO 63136-6163 | 3146535643 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Riney | Nurse Practitioner | Fairview Heights Medical Group Sc | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 |
| Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Stanley Gooding | Nurse Practitioner | Fairview Heights Medical Group Sc | 5520 Godfrey Rd, B, Godfrey, IL 62035-2508 |
| Christine A Testa | Nurse Practitioner | Fairview Heights Medical Group Sc | 6810 State Route 162 102, Maryville, IL 62062-8560 |
| Supraja Reddy Reddy | Endocrinology | Fairview Heights Medical Group Sc | 11155 Dunn Rd 109, St Louis, MO 63136-6150 |
| Kristen N Massey | Nurse Practitioner | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Ann M Davis | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Guy W Aton | Internal Medicine | Fairview Heights Medical Group Sc | 3550 College Ave, B, Alton, IL 62002-5008 |
| Mattison Perez | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Lance L Lane | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Street Address |
1225 GRAHAM RD SUITE 1340 |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-8019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Davis | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Jareer Farah | Interventional Cardiology | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Shereece Nichole Wallace | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 |
| Keiko Sawano | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Gerald W Moritz | Otolaryngology | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 |
| Doris J Tribune Brown | Family Medicine | Physician Groups Lc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Daren G Kest | Plastic and Reconstructive Surgery | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Daniel R Herleth | Family Medicine | Physician Groups Lc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Kayleigh Ann Fischer | Pediatric Medicine | Washington University | 1225 Graham Rd, Florissant, MO 63031-8012 |
| Theodore J Schuerman | Family Medicine | Physician Groups Lc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | HOSPICE/PALLIATIVE CARE |
| City + Specialty | FLORISSANT + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Allison E Jordan.
| 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.