JORGE CARDENAS (NPI# 1013542406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013542406 |
| Entity Type | Individual |
| Full Name | JORGE CARDENAS |
| Credential | PMHNP |
| Practice Address |
205 S Park Ln Altus OK 73521-5755 |
| Mailing Address |
Po Box 229 Vernon TX 76385-0229 |
| Practice Telephone | 5803796650 |
| Mailing Telephone | 9408867222 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
824786 | TX | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
135841 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 11th St, Wichita Falls, TX 763014300 | 9407647000 | |
| 205 S Park Ln, Altus, OK 735215755 | 5803796650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472796 | Jorge Alejandro Cardenas | Student in an Organized Health Care Education/Training Program | 1901, 1 St Avenue, Emergency Department, New York, NY 10029 | 2019-05-17 |
| 1285707695 | Jorge L Cardenas | General Practice | 4999 W 8th Ave, Suite # 22, Hialeah, FL 33012-3409 | 2006-11-15 |
| 1093702128 | Jorge Cardenas | Obstetrics & Gynecology | 2311 Kentucky Ave, Paducah, KY 42003-3243 | 2005-10-04 |
| Street Address |
205 S PARK LN |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| 1295230209 | Kristi Nicole Fry | Nurse Practitioner | 205 S Park Ln, Altus, OK 73521-5755 | 2018-03-30 |
| 1245614387 | Jackson County Memorial Hospital Authority | Clinic/Center | 205 S Park Ln, Altus, OK 73521-5755 | 2015-07-18 |
| 1063809531 | Rose Ngishu | Internal Medicine | 205 S Park Ln, Altus, OK 73521 | 2015-04-22 |
| 1053711648 | Kelley Duncan | Occupational Therapist | 205 S Park Ln, Suite 100, Altus, OK 73521-5755 | 2014-09-02 |
| 1740619899 | Gabrielle Daniel Arndt | Physician Assistant | 205 S Park Ln, Suite 210, Altus, OK 73521-5755 | 2013-11-08 |
| 1932535846 | Elizabeth Maurene Lauterbach | Physician Assistant | 205 S Park Ln, Altus, OK 73521-5755 | 2013-09-24 |
| 1528322476 | Alejandro Pacheco | Family Medicine | 205 S Park Ln, Altus, OK 73521-5755 | 2012-06-26 |
| 1093021016 | Ama Isaac | Family Medicine | 205 S Park Ln, Suite 210, Altus, OK 73521-5755 | 2010-08-27 |
| 1275847303 | Lonnie Edwin Perryman Jr. | Family Medicine | 205 S Park Ln, Altus, OK 73521-5755 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1235112426 | Air Evac Ems Inc | Ambulance | 6333 N Main Street, Altus, OK 73521 | 2005-11-22 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1154976033 | Mindful Psychiatric Consulting LLC | Nurse Practitioner | 1700 Nw 174th St, Edmond, OK 73012-6963 | 2019-08-07 |
| 1811555154 | Pamela Jean Davies-jones | Nurse Practitioner | 3905 Brunswick Ln, Norman, OK 73072-1759 | 2019-06-02 |
| 1568920213 | Shannon Marie Rakowski | Nurse Practitioner | 2770 Washington Dr Ste 100, Norman, OK 73069-1016 | 2019-03-12 |
| 1346725595 | Elisabeth Mustachia | Nurse Practitioner | 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035 | 2018-10-03 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1649639550 | Jane M Harmon Dnp,rn,pmhnp-bc,pllc | Nurse Practitioner | 305 Dogwood Ct, Broken Bow, OK 74728-6118 | 2016-02-19 |
| 1902248123 | Satera Nicole Washington | Nurse Practitioner | 18308 Willow Oak Ln, Edmond, OK 73012-4042 | 2013-07-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORGE CARDENAS.
| 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.