THOMAS W JORDAN (NPI# 1316367048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316367048 |
| Entity Type | Individual |
| Full Name | THOMAS W JORDAN |
| Practice Address |
7041 20th Ave Centerville MN 55038-9737 |
| Practice Telephone | 6514073631 |
| Practice Fax Number | 6514073751 |
| Mailing Telephone | 6514073631 |
| Mailing Fax Number | 6514073751 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762594 | Thomas Jordan | Registered Nurse | 14717 S Minuteman Dr, Draper, UT 84020-9549 | 2019-10-17 |
| 1821519737 | Thomas Roger Jordan | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-06-30 |
| 1083745905 | Thomas Jordan | Psychologist | 574 W End Ave, #64, New York, NY 10024-2748 | 2007-03-09 |
| 1114054293 | Thomas Bret Jordan | Physical Therapist | 534 E Loula St, Olathe, KS 66061-5402 | 2007-02-27 |
| 1801954243 | Thomas M Jordan | Pharmacist | 1020 North Collins, Arlington, TX 76011 | 2006-12-05 |
| 1932157211 | Thomas Andrew Jordan | Dentist | Cmr 402 Apo Ae 09180 Ave, Landstuhl Dental Activity, Apo Ae 09180, NY 09180 | 2006-05-05 |
| 1831192293 | Thomas Edison Jordan Jr. | Psychiatry & Neurology | 197 Ridge Rd, Jupiter, FL 33477-9660 | 2005-05-31 |
| 1013442656 | Thomas William Jordan | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2017-04-20 |
| 1255884045 | Thomas Jordan | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214-1315 | 2016-07-27 |
| 1427485671 | Thomas A Jordan | Acupuncturist | 2630 Brandt School Road, Wexford, PA 15090 | 2013-10-02 |
| Street Address |
7041 20TH AVE |
| City | CENTERVILLE |
| State | MN |
| Zip Code | 55038-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457624876 | Karen Michele Mckenzie | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2012-02-15 |
| 1942830443 | Shanna Van Duzer | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2020-01-23 |
| 1326584178 | Kathryn Greenfield | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2017-01-17 |
| 1093250227 | Bridget Mozina | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-12-26 |
| 1083062459 | Autumn Terlouw | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-05-26 |
| 1043671191 | Marita Glasgow | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-03-17 |
| 1033588413 | Erica Reina | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-09-16 |
| 1770959827 | Jenna Vissell | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-08-12 |
| 1497149678 | Valcia Mcgann | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-03-25 |
| 1902202815 | Rachel Peterson | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157586 | Ronald Dranetz | Counselor | 601 Lumbert Mill Rd, Centerville, MA 02632-2603 | 2020-09-04 |
| 1831729003 | De Vries Counseling and Consulting, Pllc | Counselor | 303 W State St, Centerville, IA 52544-1722 | 2020-01-16 |
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1013270305 | Trista Marie Weber | Counselor | 7041 20th Ave S., Centerville, MN 55038-9737 | 2012-06-21 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1457624876 | Karen Michele Mckenzie | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2012-02-15 |
| 1124352026 | Courtney Poignand | Counselor | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2009-09-24 |
| 1043543994 | Lora N Firman | Counselor | 90 Rhoads Center Dr, Centerville, OH 45458-3859 | 2009-09-10 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 55038 |
Please comment or provide details below to improve the information on THOMAS W JORDAN.
| 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.