MR. JORDAN TEAL (NPI# 1417495011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417495011 |
| Entity Type | Individual |
| Full Name | MR. JORDAN TEAL |
| Credential | CRNP |
| Practice Address |
300 Medical Center Dr Suite 200 - Etowah Pulmonology Associates Gadsden AL 35903-1157 |
| Practice Telephone | 2564944646 |
| Mailing Telephone | 2564944646 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-135323 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 MEDICAL CENTER DR SUITE 200 - ETOWAH PULMONOLOGY ASSOCIATES |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069127 | Henry Ruiz | Specialist | 300 Medical Center Dr, Suite 303, Gadsden, AL 35903-1157 | 2005-08-03 |
| 1730621681 | Myers Institute PC | Plastic Surgery | 300 Medical Center Dr, Suite 305, Gadsden, AL 35903-1157 | 2016-11-09 |
| 1568715936 | Renal Treatment Centers Southeast Lp | Clinic/Center | 300 Medical Center Dr, Ste 100, Gadsden, AL 35903 | 2012-10-22 |
| 1932433042 | Whitaker Cardiology, PC | Internal Medicine | 300 Medical Center Dr, Suite 201, Gadsden, AL 35903-1157 | 2009-09-22 |
| 1205084175 | Arianne Danielle Bennett-venner | Internal Medicine | 300 Medical Center Dr, Suite 200, Gadsden, AL 35903-1157 | 2008-09-04 |
| 1962658385 | Beth Mobley Self | Nurse Practitioner | 300 Medical Center Dr, Gadsden, AL 35903-1157 | 2008-08-18 |
| 1255518460 | Cardiology Consultants PC | Internal Medicine | 300 Medical Center Dr, Suite 201, Gadsden, AL 35903-1157 | 2008-01-30 |
| 1750568127 | Ruiz Neurosurgery Clinic, P.C. | Specialist | 300 Medical Center Dr, Suite 303, Gadsden, AL 35903-1157 | 2008-01-28 |
| 1114127917 | Gadsden Women's Clinic | Specialist | 300 Medical Center Dr, Suite 102, Gadsden, AL 35903-1157 | 2007-07-19 |
| 1275730244 | Shahana Masood | Internal Medicine | 300 Medical Center Dr, Suite 200, Gadsden, AL 35903-1157 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164971404 | Justin Chase Ford | Nurse Practitioner | 300 Medical Center Dr Ste 303, Gadsden, AL 35903-1136 | 2016-09-28 |
| 1124633102 | Ashlie Barnes | Nurse Practitioner | 1007 Goodyear Ave, Gadsden, AL 35903-1100 | 2020-09-15 |
| 1588201685 | Rachael Martinez Kimball | Nurse Practitioner | 1007 Goodyear Ave, Gadsden, AL 35903-1100 | 2019-12-08 |
| 1578013413 | Heather Breann Smith | Nurse Practitioner | 1102 Goodyear Ave, Gadsden, AL 35903-2008 | 2016-10-04 |
| 1104375401 | Leana Voss | Nurse Practitioner | 213 S 5th St, Gadsden, AL 35901-4217 | 2016-09-27 |
| 1376091967 | Jennifer Brewster Firestone | Nurse Practitioner | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2016-09-13 |
| 1285004267 | Jared Kasey Jones | Nurse Practitioner | 425 S 3rd St, Gadsden, AL 35901-5210 | 2015-10-02 |
| 1245404078 | Tasha Cobb Adkison | Nurse Practitioner | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
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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.