DR. CRAIG EUGENE JORDAN (NPI# 1386638567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386638567 |
| Entity Type | Individual |
| Full Name | DR. CRAIG EUGENE JORDAN |
| Credential | PH.D. |
| Practice Address |
2200 Bergquist Dr Suite 1 Lackland A F B TX 78236-9907 |
| Mailing Address |
13026 Hunters Breeze St San Antonio TX 78230-2811 |
| Practice Telephone | 2105362940 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 51026 | TX | Speech, Language and Hearing Service Providers |
| X | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
51026 | TX | Speech, Language and Hearing Service Providers |
| X | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
51026 | TX | Speech, Language and Hearing Service Providers |
| X | 237600000X | Audiologist-Hearing Aid Fitter | 51026 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313030 | Craig William Jordan | Optometrist | 12416 Hymeadow Dr Ste 100, Austin, TX 78750-2282 | 2016-05-13 |
| 1881815793 | Craig Michael Jordan | Occupational Therapist | 620 Palmer Ave Ste 2, Falmouth, MA 02540-5103 | 2007-05-01 |
| 1467521328 | Craig Logan Jordan | Chiropractor | 10817 W Lincoln Ave, West Allis, WI 53227-1127 | 2006-11-07 |
| 1992260038 | Craig Michael Jordan | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2019-02-03 |
| 1609983428 | Craig Alan Jordan | Counselor | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2006-08-25 |
| Street Address |
2200 BERGQUIST DR SUITE 1 |
| City | LACKLAND A F B |
| State | TX |
| Zip Code | 78236-9907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139494 | Kathryn Joyce | Nurse Practitioner | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2005-07-28 |
| 1619219789 | Jodie K Timberlake | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Willford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 | 2013-03-26 |
| 1467798884 | James W Parry | Military Health Care Provider | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-12-13 |
| 1093065252 | Brittany Mccright | Physical Therapist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-09-14 |
| 1003177593 | Danielle Kusserow Bersabe | Internal Medicine | 2200 Bergquist Dr, Wilford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 | 2012-05-31 |
| 1114206570 | Ana Ugues Aleman | Pharmacist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2011-08-16 |
| 1902192743 | Ashley Noelle Franz | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Wilford Hall Medical Center, Lackland A F B, TX 78236-9907 | 2011-06-20 |
| 1699067694 | Kristen Kann | Emergency Medicine | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2011-05-09 |
| 1891090577 | Evan Gregory Smith | Physician Assistant | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2011-01-11 |
| 1295041853 | Santos Michael Rivera II | Pharmacist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2010-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477786515 | Alex Heaton Gubler | Audiologist | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2009-08-24 |
| 1063447670 | Jenny H. Rainwater | Audiologist | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2006-07-12 |
| 1366412330 | David Pedersen | Audiologist | 2200 Bergquist Dr, Ste. 1, Lackland A F B, TX 78236-9907 | 2006-01-24 |
| 1083684146 | Benigno Sierra-irizarry | Audiologist | 2200 Bergquist Dr, Audiology and Speech Pathology Element, Lackland A F B, TX 78236-9908 | 2006-01-23 |
| 1568440923 | Bridget Nadine Mcmullen | Audiologist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9908 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386969 | Holly M Conradt | Audiologist | 4001 W 15th St Ste 225, Plano, TX 75093-5838 | 2020-11-04 |
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1386241701 | Melanie Marie Mcqueen | Audiologist | 3010 Williams Dr Ste 108, Georgetown, TX 78628-2748 | 2020-10-08 |
| 1477150878 | Abigail Harkey | Audiologist | 4315 James Casey St # 300, Austin, TX 78745-3364 | 2020-10-08 |
| 1831706175 | Monkey Ears, LLC | Audiologist | 1140 N Kimball Ave, Southlake, TX 76092-5569 | 2020-09-30 |
| 1578175980 | Audrey Breanne Hiner | Audiologist | 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 | 2020-08-18 |
| 1609494855 | Acro Audiology Hearing Care Center | Audiologist | 540 Oak Centre Dr Ste 220, San Antonio, TX 78258-3937 | 2020-07-13 |
| 1629696562 | Hanna Patel | Audiologist | 11661 Preston Rd Ste 131, Dallas, TX 75230-6191 | 2020-07-07 |
| 1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
| 1750905287 | Holly Skinner | Audiologist | 12600 Lockhart Dr, Denton, TX 76207-1760 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND A F B |
| Zip Code | 78236 |
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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.