DR. JORDAN LEE NEWMARK (NPI# 1144489592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144489592 |
| Entity Type | Individual |
| Full Name | DR. JORDAN LEE NEWMARK |
| Credential | MD |
| Practice Address |
450 Broadway Street 1st Floor, Pav A Redwood City CA 94063 |
| Practice Telephone | 6507236238 |
| Practice Fax Number | 6507213417 |
| Mailing Telephone | 6507236238 |
| Mailing Fax Number | 6507213417 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 262294 | NY | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | L-236669 | MA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A117497 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
450 BROADWAY STREET 1ST FLOOR, PAV A |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205318573 | Kate Lauren Kevorken | Physical Therapist | 450 Broadway Street, Pavilion B31, 3rd Floor, Redwood City, CA 94063 | 2018-09-04 |
| 1376033043 | Derek Michael Beaulieu | Student in an Organized Health Care Education/Training Program | 450 Broadway Street, Pavilion C, 2nd Floor - Mc5334, Redwood City, CA 94063 | 2018-05-17 |
| 1164872651 | Chris Alison Chou | Psychiatry & Neurology | 450 Broadway Street, Pavilion B, 2nd Floor, Mc 5730, Redwood City, CA 94063-1010 | 2016-06-15 |
| 1760875157 | Gloria Yi | Physical Therapist | 450 Broadway Street, Suite A24, M/c 6122, Redwood City, CA 94063 | 2015-03-10 |
| 1639596638 | Sara Nichole Raiser | Physical Medicine & Rehabilitation | 450 Broadway Street, Mc: 6342, Redwood City, CA 94063-3132 | 2014-03-27 |
| 1871939322 | Nisha Varadarajan | Internal Medicine | 450 Broadway Street, Pavilion C, Mc 5334, Redwood City, CA 94041 | 2013-05-10 |
| 1992020127 | Eleni Linos | Dermatology | 450 Broadway Street, Dept Dermatology, Pavillion C, 2nd Floor, Redwood City, CA 94063 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477079150 | James Khan | Anesthesiology | 450 Broadway St, Redwood City, CA 94063-3132 | 2017-08-15 |
| 1245673268 | Michael Daniel Hermann | Anesthesiology | 450 Broadway St, Redwood City, CA 94063 | 2013-04-09 |
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| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.