DR. JORDAN SCALO (NPI# 1013089218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013089218 |
| Entity Type | Individual |
| Full Name | DR. JORDAN SCALO |
| Credential | MD |
| Practice Address |
11111 Research Blvd Suite 300 Austin TX 78759-5264 |
| Practice Telephone | 5123809200 |
| Practice Fax Number | 5123809201 |
| Mailing Telephone | 5123809200 |
| Mailing Fax Number | 5123809201 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
H73442 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 153942103 | 05 |
| Street Address |
11111 RESEARCH BLVD SUITE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545186 | Marsha Hillary Onan | Ophthalmology | 11111 Research Blvd, Suite 220, Austin, TX 78759-5264 | 2005-08-11 |
| 1639500465 | Kathryn Ruth Shirley | Nurse Practitioner | 11111 Research Blvd, Ll2, Austin, TX 78759-5264 | 2013-12-04 |
| 1528309739 | Angela Michelle Pena | Nurse Practitioner | 11111 Research Blvd, Ll2, Austin, TX 78759-5264 | 2013-03-13 |
| 1235484957 | Maeturah Zoe Harmon | Obstetrics & Gynecology | 11111 Research Blvd, Suite 230, Austin, TX 78759-5264 | 2012-07-18 |
| 1679851901 | Deirdre M Rhoad M D P A | Specialist | 11111 Research Blvd, Suite 310, Austin, TX 78759-5264 | 2011-08-04 |
| 1225336274 | Cynthia Chaparro-krueger | Obstetrics & Gynecology | 11111 Research Blvd, Suite 230, Austin, TX 78759-5264 | 2011-02-28 |
| 1568769032 | Kellie M Barrett | Physician Assistant | 11111 Research Blvd, 300, Austin, TX 78759-5264 | 2011-02-18 |
| 1104139575 | Cardiovascular Associates Northwest Pllc | Nuclear Medicine | 11111 Research Blvd, Suite 360, Austin, TX 78759-5264 | 2010-07-14 |
| 1790010585 | Austin Texas Radiation Oncology Group, Pa | Specialist | 11111 Research Blvd, Austin, TX 78759-5264 | 2009-10-12 |
| 1679711279 | Peter Jeffrey Gembol | Nurse Practitioner | 11111 Research Blvd, Ste 310, Austin, TX 78759-5264 | 2009-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669792248 | Joseph Tayar | Pediatrics | 11111 Research Blvd Ste 300, Austin, TX 78759-5792 | 2010-06-07 |
| 1073702981 | Austin Children's Chest Associates II | Pediatrics | 3305 Northland Dr Ste 512, Austin, TX 78731-4991 | 2007-10-16 |
| 1083807820 | Kavita A Patel | Pediatrics | 8611 N Mopac Expy Ste 300, Austin, TX 78759-8319 | 2007-08-24 |
| 1235285909 | June-ku Kang | Pediatrics | 3305 Northland Dr, Suite 512, Austin, TX 78731-4961 | 2007-01-26 |
| 1184796401 | Jason Fullmer | Pediatrics | 11111 Research Blvd, Suite 300, Austin, TX 78759-5264 | 2006-11-14 |
| 1134291545 | Austin Children's Chest Associates, Pa | Pediatrics | 3305 Northland Dr, Suite 512, Austin, TX 78731-4961 | 2006-11-14 |
| 1710059050 | William Brendle Glomb | Pediatrics | 3305 Northland Dr, Suite 512, Austin, TX 78731-4961 | 2006-11-14 |
| 1689746935 | Bennie C Mcwilliams | Pediatrics | 3305 Northland Dr, Suite 512, Austin, TX 78731-4961 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085528 | Sonal Malhotra | Pediatrics | 7700 Fannin St Ste 1040, Houston, TX 77054 | 2011-04-14 |
| 1003143553 | Marlene D. Typaldos Sanchez | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030-2611 | 2009-11-04 |
| 1508031956 | Arthur C Ogborn Jr. | Pediatrics | 844 Central Blvd Ste 420, Brownsville, TX 78520-7535 | 2008-04-28 |
| 1417125154 | Texas Pediatric Pulmonary Consultants, P.a. | Pediatrics | 140 W Lamberth Rd, Suite C, Sherman, TX 75092-2667 | 2008-02-15 |
| 1144309279 | Harold J. Farber | Pediatrics | 6701 Fannin St, 9th Floor, Mc Cc 920.01, Texas Children's Hospital Clinical Care Center, Houston, TX 77030 | 2006-11-02 |
| 1710062237 | Roberto A Ayres Mdpa | Pediatrics | 1900 South Jackson, Ste 7, Mcallen, TX 78501 | 2006-10-25 |
| 1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
| 1306953302 | Victor German | Pediatrics | 333 N Santa Rosa Ave Rm F2658, San Antonio, TX 78207-3108 | 2006-08-24 |
| 1548292600 | Paul Keith Nolan | Pediatrics | 3533 South Alameda - 5th Floor Sloan Bldg., Pediatric Pulmonology Dept-driscoll Children's Hospital, Corpus Christi, TX 78411 | 2006-07-07 |
| 1215991641 | Daniel A Deane | Pediatrics | 339 Elizabeth Rd, San Antonio, TX 78209-5960 | 2006-04-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.