Kevin D Jordan (NPI# 1952600413, PAC ID# 5890097091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1952600413 |
PAC ID by PECOS | 5890097091 |
Professional Enrollment ID | I20160105001949 |
Full Name | Kevin D Jordan |
Organization Legal Name | INDIANA STATE UNIVERSITY |
Address |
424 N 7th St Root Hall Terre Haute IN 47809-1928 |
Phone Number | 8122373317 |
Gender | M |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 8729177878 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
424 N 7th St Root Hall, Terre Haute, IN 47809-1928 | 8122373317 | INDIANA STATE UNIVERSITY |
Organization Legal Name | INDIANA STATE UNIVERSITY |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin Applegate | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Jean L Kristeller | Psychologist, Clinical | Indiana State University | 424 N 7th St Root Hall, Terre Haute, IN 47809-1928 |
Brittney M Millspaugh-storms | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Jimmie R Storms | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Paul Kevin Bolinskey | Clinical Psychologist | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Street Address |
424 N 7TH ST ROOT HALL |
City | TERRE HAUTE |
State | IN |
Zip | 47809-1928 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jean L Kristeller | Psychologist, Clinical | Indiana State University | 424 N 7th St Root Hall, Terre Haute, IN 47809-1928 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren Dulay | Nurse Practitioner | Union Associated Physicians Clinic LLC | 567 N 5th St, Terre Haute, IN 47809-1903 |
Justin Applegate | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Brittney M Millspaugh-storms | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Jimmie R Storms | Physical Therapy | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
Paul Kevin Bolinskey | Clinical Psychologist | Indiana State University | 567 N 5th St Room, 178 Isu Physical Therapy and Sports Rehab Clinic, Terre Haute, IN 47809-1903 |
City | TERRE HAUTE |
Zip Code | 47809 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | TERRE HAUTE + CLINICAL PSYCHOLOGIST |
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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.