Jordan M Heidelbaugh (NPI# 1174019962, PAC ID# 6507114733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174019962 |
| PAC ID by PECOS | 6507114733 |
| Professional Enrollment ID | I20180806000152 |
| Full Name | Jordan M Heidelbaugh |
| Organization Legal Name | GANLY VISION CARE, PC |
| Address |
402 Bayard Rd Suite 200 Kennett Square PA 19348-1862 |
| Phone Number | 4847708132 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921153503 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 | 4847708132 | GANLY VISION CARE, PC |
| Organization Legal Name | GANLY VISION CARE, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Ganly | Optometry | Ganly Vision Care, PC | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 |
| Carol Anne B Luchanko-ganly | Optometry | Ganly Vision Care, PC | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 |
| Street Address |
402 BAYARD RD SUITE 200 |
| City | KENNETT SQUARE |
| State | PA |
| Zip | 19348-1862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Ganly | Optometry | Ganly Vision Care, PC | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 |
| Carol Anne B Luchanko-ganly | Optometry | Ganly Vision Care, PC | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R. Quinn | Psychologist, Clinical | 644 E Cypress St, Kennett Square Counseling Center, Kennett Square, PA 19348-0022 | |
| Marilyn S. Quinn | Psychologist, Clinical | 644 E Cypress St, Kennett Square, PA 19348-0022 | |
| Lonnie E Luscavage | Ophthalmology | 1008 Wawaset Rd, Kennett Square, PA 19348-1002 | |
| Sharon O'melia Howard | Registered Dietitian Or Nutrition Professional | 705 Denbigh Chase, Kennett Square, PA 19348-1532 | |
| Margaret Reynolds Dorgan | Clinical Social Worker | 127 W St Rd, Suite 302 Peg Dorgan Mss Lcsw, Kennett Sq, PA 19348-1698 | |
| Edward B Jenny | Psychologist, Clinical | 127 W St Rd, Suite 302, Kennett Square, PA 19348-1698 | |
| Carrie Nicole Miller Baichi | Gastroenterology | West Chester Gi Associates PC | 127 W St Rd, Suite 102, Kennett Square, PA 19348-1698 |
| Ashish Chawla | Gastroenterology | West Chester Gi Associates PC | 127 W St Rd, Suite 102, Kennett Square, PA 19348-1698 |
| Sharon J Anghel | Podiatry | Foot and Ankle Associates LLP | 692 Unionville Rd, Kennett Square, PA 19348-1704 |
| Richard J Conti | Podiatry | Foot and Ankle Associates LLP | 692 Unionville Rd, Kennett Square, PA 19348-1704 |
| Find all physicians in zip 19348 | |||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
| Specialty | OPTOMETRY |
| City + Specialty | KENNETT SQUARE + OPTOMETRY |
Please comment or provide details below to improve the information on Jordan M Heidelbaugh.
| 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.