JORDAN MARCOU (NPI# 1154834786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154834786 |
| Entity Type | Individual |
| Full Name | JORDAN MARCOU |
| Credential | PA-C |
| Practice Address |
5520 Park Ave Trumbull CT 06611 |
| Mailing Address |
52 Beach Rd Ste 104 Fairfield CT 06824-6692 |
| Practice Telephone | 2033737330 |
| Mailing Telephone | 2032543570 |
| Mailing Fax Number | 2032553126 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4008 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5520 PARK AVE |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1053947465 | Hyungbok H Jeong | Nurse Practitioner | 5520 Park Ave, Trumbull, CT 06611-3463 | 2020-03-17 |
| 1902375835 | Laura Elizabeth Morris | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2018-11-20 |
| 1629581053 | Sophie Jaffe | Social Worker | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-11-07 |
| 1013439769 | Alexis Grace Shaub | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-07-14 |
| 1902346224 | Catherine Wei | Internal Medicine | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-03-06 |
| 1649725656 | Jenna Addison | Registered Nurse | 5520 Park Ave, Trumbull, CT 06611-3463 | 2016-08-19 |
| 1447519582 | Jill Cooper Kenney | Naturopath | 5520 Park Ave, Trumbull, CT 06611-3463 | 2012-05-10 |
| 1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
| 1427348085 | Mark A Breiner | Dentist | 5520 Park Ave, Ste. 301, Trumbull, CT 06611-3463 | 2011-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| 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 |
|---|---|---|---|---|
| 1356862429 | Daniel Ryan Tierney | Physician Assistant | 15 Corporate Dr Ste 2-8, Trumbull, CT 06611-1351 | 2017-06-29 |
| 1639529068 | Charles Severo | Physician Assistant | 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816 | 2016-06-16 |
| 1659519783 | Mona Copeland | Physician Assistant | 6111 Avalon Gates, Trumbull, CT 06611-5818 | 2009-01-28 |
| 1851585905 | Elizabeth Susan Hricik | Physician Assistant | 11 Moorland Rd, Trumbull, CT 06611-3823 | 2007-08-31 |
| 1659581577 | Kristin Lynn Schmitt | Physician Assistant | 5520 Park Avenue, Suite 208, Trumbull, CT 06611 | 2007-05-22 |
| 1013403682 | Stephanie Katherine Gohlsch | Physician Assistant | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2018-07-07 |
| 1386020238 | Kaitlyn O'brien | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-08-03 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1609062603 | Carrie Ann Rossi | Physician Assistant | 888 White Plains Rd Ste 106, Trumbull, CT 06611-4552 | 2007-09-24 |
| 1518992437 | April B Umek | Physician Assistant | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2006-07-11 |
| Find all providers in TRUMBULL | ||||
Please comment or provide details below to improve the information on JORDAN MARCOU.
| 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.