MR. JORDAN TIMOTHY HERBERT (NPI# 1073058475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073058475 |
| Entity Type | Individual |
| Full Name | MR. JORDAN TIMOTHY HERBERT |
| Credential | AGPCNP-BC |
| Practice Address |
3310 W Big Beaver Rd Suite 137 Troy MI 48084 |
| Mailing Address |
21650 W 11 Mile Rd Ste 202 Southfield MI 48076-3777 |
| Practice Telephone | 2487925200 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704293610 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3310 W Big Beaver Rd, Suite 137, Troy, MI 480842809 | 2487925200 |
| Street Address |
3310 W BIG BEAVER RD SUITE 137 |
| City | TROY |
| State | MI |
| Zip Code | 48084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898667 | Maria Theresa Pacis Biederman | Internal Medicine | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2006-02-07 |
| 1518403153 | Karla Jordan | Nurse Practitioner | 3310 W Big Beaver Rd, Troy, MI 48084-2809 | 2017-01-06 |
| 1942745252 | Dana Christine Forman | Nurse Practitioner | 3310 W Big Beaver Rd, #137, Troy, MI 48084-2809 | 2016-12-21 |
| 1477748432 | Fernando Eduardo Frontera | General Practice | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2007-09-12 |
| 1972710150 | Camille Rosenberg | Physician Assistant | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2007-05-17 |
| 1518087204 | Valerie Baskerville | Podiatrist | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2007-03-29 |
| 1134287592 | Danielle Marie Schramm | Internal Medicine | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1326699844 | Jaclyn Anne Korn | Nurse Practitioner | 774 Sandalwood Dr, Troy, MI 48085-1644 | 2019-09-25 |
| 1619508991 | Olivia Christine Kramer | Nurse Practitioner | 2649 Crooks Rd, Troy, MI 48084-4714 | 2020-01-27 |
| 1811536378 | Misty Manuel | Nurse Practitioner | 998 S Dorset Rd Ste 301, Troy, OH 45373-4748 | 2020-01-02 |
| 1962043117 | Tara Adkins | Nurse Practitioner | 3130 N County Road 25a Ste 207, Troy, OH 45373-1337 | 2019-09-30 |
| 1457842361 | Amanda Mckay | Nurse Practitioner | 1380 Coolidge Hwy, Troy, MI 48084 | 2018-05-25 |
| 1700388527 | Leah Rochelle Gale | Nurse Practitioner | 998 S Dorset Rd, Troy, OH 45373 | 2018-03-07 |
| 1548796964 | Amudha Palaiyan | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2017-05-04 |
| 1003369307 | Melissa Baker | Nurse Practitioner | 5440 Corporate Dr, Troy, MI 48098-2646 | 2016-08-03 |
| 1962850131 | Lisa Lynn Mccloy | Nurse Practitioner | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2016-05-29 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on MR. JORDAN TIMOTHY HERBERT.
| 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.