Myles David Jordan (NPI# 1467019877, PAC ID# 9830422633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467019877 |
| PAC ID by PECOS | 9830422633 |
| Professional Enrollment ID | I20190611000756 |
| Full Name | Myles David Jordan |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072875889 |
| Number of Group Practice Members | 578 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES | |
| 44201 Dequindre Rd, Troy, MI 48085-1117 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Physicians | 525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salman Khan | Family Medicine | Beaumont Medical Group Hospital Based Services | 33155 Annapolis St, Wayne, MI 48184-2405 |
| Amit Bahl | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Jessica Beacome | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 |
| Joel T Fishbain | Infectious Disease | Beaumont Medical Group Hospital Based Services | 25631 Little Mack Ave, Suite 205, Saint Clair Shores, MI 48081-2108 |
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Maria Thomas | Pathology | Beaumont Medical Group Hospital Based Services | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Edward J Jelonek | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Aparna Hariharan | Pathology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Terrence Metz | Diagnostic Radiology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Nicole Y Marijanovich | Internal Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip | 48085-1117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Ellen O Martines | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| David Donaldson | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Yan Lin | Hospitalist | Hospital Consultants PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Tiffany Elyse Drane | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle E Braniecki | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Susan Marie Winay | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Michael A Yusaf | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Jennifer Rita Walster | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle Marie Friedrich | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Zohoury | Internal Medicine | 44201 Dequindre, Troy, MI 48085-1117 | |
| Emily E Corba | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anita K Chadha | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Elizabeth A Putt | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Chelsea Niemi | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anna Marie Glaros | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Matthew V Christensen | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Shane Corey Sluka | Physician Assistant | Michigan Orthopaedic Spine Surgeons PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Suzanne Romadan | Internal Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | |
| Kristie L Kaminski | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in zip 48085 | |||
| City | TROY |
| Zip Code | 48085 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TROY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Myles David 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.