DR. JORDAN ELLIOT ANGELL (NPI# 1306021076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306021076 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ELLIOT ANGELL |
| Credential | MD |
| Practice Address |
410 Malcolm Dr Suite A Westminster MD 21157-6160 |
| Mailing Address |
25 Crossroads Dr Suite 306 Owings Mills MD 21117-5421 |
| Practice Telephone | 4108761633 |
| Practice Fax Number | 4108402100 |
| Mailing Telephone | 4437382872 |
| Mailing Fax Number | 4437382713 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D0075473 | MD | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 35098754 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 3362132 00 | 05 | |
| OH | 0065081 | 05 |
| Street Address |
410 MALCOLM DR SUITE A |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203245 | Scott D. Jerome | Internal Medicine | 410 Malcolm Dr, Ste A, Westminster, MD 21157-6160 | 2005-05-31 |
| 1114196151 | Summit Ambulatory Surgical Center LLC | Clinic/Center | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2008-02-25 |
| 1609880558 | Genine Consagra | Family Medicine | 410 Malcolm Dr, Suite C, Westminster, MD 21157 | 2006-07-28 |
| 1164479507 | Brian M. Levin | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-05-30 |
| 1194786186 | Mary Beth Lennox Mendoza | Physician Assistant | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-29 |
| 1255390670 | Carroll County Eye Surgery Center, LLC | Clinic/Center | 410 Malcolm Dr, Suite B, Westminster, MD 21157-6160 | 2006-03-23 |
| 1710955133 | Reynaldo P Madrinan | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-10 |
| 1336113893 | Keith J Oreilly | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1871903864 | Michael H. Kane, M.d., LLC | Urology | 688 Poole Rd Ste A, Westminster, MD 21157-6179 | 2014-04-30 |
| 1386878874 | Andrew C Harbin | Urology | 410 Malcolm Dr Ste A, Westminster, MD 21157-6160 | 2009-05-12 |
| 1598892531 | Paulette G Holley | Urology | 4960 W 107th Loop, Westminster, CO 80031-1982 | 2007-02-27 |
| 1710918057 | Michael H Kane | Urology | 477 East Main Street, Westminster, MD 21157 | 2006-07-05 |
| 1497053045 | Advanced Urology Associates, LLC | Urology | 193 Stoner Ave, Suite 310, Westminster, MD 21157-5587 | 2011-03-07 |
| 1558447326 | Farhad Sateri | Urology | 295 Stoner Avenue, Billingslea Medical Building Suite 303, Westminster, MD 21157-5688 | 2006-10-27 |
| 1164479507 | Brian M. Levin | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-05-30 |
| 1518935949 | Suresh M Sidh | Urology | 826 Washington Rd, Ste 215, Westminster, MD 21157-5750 | 2006-03-10 |
| 1710955133 | Reynaldo P Madrinan | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-10 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on DR. JORDAN ELLIOT ANGELL.
| 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.