TERRY L JORDAN (NPI# 1114987765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114987765 |
| Entity Type | Individual |
| Full Name | TERRY L JORDAN |
| Credential | PA-C |
| Practice Address |
1414 9th Ave Altoona PA 16602-2415 |
| Mailing Address |
1414 9th Ave Station Medical Center Altoona PA 16602-2415 |
| Practice Telephone | 8149461655 |
| Practice Fax Number | 8149497616 |
| Mailing Telephone | 8149461655 |
| Mailing Fax Number | 8149497616 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA051733 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548409311 | Terry Lynn Jordan | Social Worker | 50 Lydia Lane, Youth Alternatives Ingraham, South Portland, ME 04106 | 2009-02-18 |
| 1417046327 | Terry T Jordan | Psychiatry & Neurology | 5000 Hwy 39 North, Meridian, MS 39301 | 2006-10-11 |
| 1740222108 | Terry Mark Jordan | Physical Therapist | 400 Hickory St Nw Ste 201, Albany, OR 97321-1700 | 2006-06-11 |
| 1063028736 | Terry L Jordan | Pharmacist | 3425 W Frye Rd, Chandler, AZ 85226-5008 | 2020-09-18 |
| 1396303244 | Terry Mark Jordan | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2019-06-04 |
| 1801286216 | Terry Jordan | Massage Therapist | 333 S State St, Lake Oswego, OR 97034-3932 | 2015-01-23 |
| 1285066886 | Terry Lee Jordan | Social Worker | 4396 Highway 80, Ruston, LA 71270-8948 | 2013-08-06 |
| 1407907959 | Terry M. Jordan | Respiratory Therapist, Registered | 1959 Ne Pacific St, Box 356172, Seattle, WA 98195-0001 | 2007-01-12 |
| 1063509685 | Terry A Jordan | Social Worker | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2006-10-06 |
| Street Address |
1414 9TH AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650848 | Tracy A Lillie | Family Medicine | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2454 | 2005-12-20 |
| 1538785688 | Tara Anne Benko | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2020-06-24 |
| 1295378438 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1414 9th Ave, Altoona, PA 16602-2415 | 2019-10-21 |
| 1174003867 | Rachel Alexa Mcclain | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2018-08-21 |
| 1285170928 | Laura Christine Grassmyer | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2017-01-18 |
| 1649713389 | Upmc Altoona Regional Health | Non-Pharmacy Dispensing Site | 1414 9th Ave, Alto Tower Suite, Altoona, PA 16602-2415 | 2016-11-29 |
| 1306397153 | Laura Jeffries | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2016-10-17 |
| 1851792303 | Gabrielle Dunchuck | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2014-09-15 |
| 1457779910 | Kayla Esch | Physician Assistant | 1414 9th Ave, Blair Medical Associates, Altoona, PA 16602-2415 | 2014-04-02 |
| 1356771406 | Brianne J Baker | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033989 | Gabrielle Marie Smith | Physician Assistant | 2521 14th Ave, Altoona, PA 16601-2112 | 2019-03-22 |
| 1962840348 | Steven D Wess | Physician Assistant | 501 Howard Ave Ste B204, Altoona, PA 16601-4811 | 2013-06-07 |
| 1982931507 | Rachael E. Lamkin | Physician Assistant | 1414 9th Avenue, Altoona, PA 16602 | 2009-11-04 |
| 1629262779 | Renee Ann Columbus | Physician Assistant | 810 Valley View Boulevard, Blair Gastroenterology Associates, Altoona, PA 16602-6342 | 2007-08-31 |
| 1164506622 | Kylon A Schmitt | Physician Assistant | 3770 8th St Sw Ste B, Altoona, IA 50009 | 2006-10-24 |
| 1467426148 | Loni M Baird | Physician Assistant | 810 Valley View Blvd, Altoona, PA 16602-6342 | 2006-02-17 |
| 1790755676 | Brett J Beech | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2006-01-24 |
| 1699755785 | Heather L Jeffords | Physician Assistant | 1442 Bailie Ln Sw, Altoona, IA 50009-4505 | 2006-01-17 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| Find all providers in ALTOONA | ||||
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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.