DR. JORDAN SIMMONS (NPI# 1366963084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366963084 |
| Entity Type | Individual |
| Full Name | DR. JORDAN SIMMONS |
| Credential | MD |
| Practice Address |
47 New Scotland Ave Dept Of Albany NY 12208-3412 |
| Mailing Address |
47 New Scotland Avenue, Dept. of Medicine Albany NY 12208 |
| Practice Telephone | 5182623593 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 5B248591C | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164594 | Jordan Simmons | Marriage & Family Therapist | 335 Murfreesboro Pike, Nashville, TN 37210-2824 | 2019-10-07 |
| 1023265303 | Jordan Elizabeth Simmons | Audiologist | 6777 West Maple Rd., West Bloomfield, MI 48322 | 2008-08-19 |
| Street Address |
47 NEW SCOTLAND AVE DEPT OF |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285926709 | Marco Diego Vitto | Radiology | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2011-05-03 |
| 1962014217 | Ahmad Abulawi | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-08-18 |
| 1386262780 | Amin Amin Azem | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-07-12 |
| 1124646658 | Jozef Oweis | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-07-10 |
| 1407474000 | Sualeha Khalid | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-07-09 |
| 1508483074 | Al-ameen Oredegbe | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-07-01 |
| 1720617251 | Dana Alexandra Perim | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-04-06 |
| 1417586124 | Lauren Arielle Sussman | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-04-04 |
| 1679102552 | Peter Pevzner | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-04-03 |
| 1013546811 | Reina Lorene Lopez | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1770196263 | Caroline De Bie | Student in an Organized Health Care Education/Training Program | 305 W End Way Apt 103, Albany, CA 94706-2558 | 2020-08-25 |
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1124648183 | Isis Marlene Topete | Student in an Organized Health Care Education/Training Program | 300 Gooding Way Apt 341, Albany, CA 94706-1950 | 2020-04-20 |
| 1851910632 | Dorneshia Thomas | Student in an Organized Health Care Education/Training Program | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-04-13 |
| 1396374252 | Megala Sankrith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Surgery, Albany, NY 12208-3412 | 2020-04-03 |
| 1285263160 | Patrick Jia Huang | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopaedics, Albany, NY 12208-3412 | 2020-04-03 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1699303933 | Khushboo Khan | Student in an Organized Health Care Education/Training Program | 52 Schoolhouse Rd, Albany, NY 12203-3850 | 2020-03-31 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. JORDAN SIMMONS.
| 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.