JORDAN WEBB YOUNG


Address: 100 Knotbreak Rd, Salem, VA 24153
Phone: 5404445670

JORDAN WEBB YOUNG (NPI# 1508224775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508224775
Entity Type Individual
Full Name JORDAN WEBB YOUNG
Credential PA-C
Practice Address 100 Knotbreak Rd
Salem
VA 24153
Mailing Address 100 Knotbreak Rd
Salem
VA 24153-5414
Practice Telephone 5404445670
Practice Fax Number 5404445669
Mailing Telephone 5404445670
Mailing Fax Number 5404445669
Enumeration Date 2016-02-03
Last Update Date 2019-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110-005899 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1802 Braeburn Dr Ste 3c10, Salem, VA 241537357 (540) 444-5670 5404445669

Other Providers JORDAN YOUNG

NPI Name Taxonomy Address Enumeration
1184139446 Jordan Bradley Young Physical Medicine & Rehabilitation 4889 Golden Pkwy Ste 150, Buford, GA 30518-6111 2017-12-08
1154773414 Jordan Young Technician, Other 2331 Peppermill Ct, Hartland, MI 48353-3146 2016-07-11
1407198450 Jordan Young Counselor 9 Progressive St, Worcester, MA 01604-2407 2013-03-17
1841483302 Jordan D Young Dentist 109 S 65th Ave Ste 104, Ridgefield, WA 98642-3708 2007-08-19
1942852652 Jordan Young Specialist/Technologist 789 Pine St, Burlington, VT 05401-4933 2019-07-12
1285192237 Jordan Taylor Young Registered Nurse 921 Ne 13th St, Oklahoma City, OK 73104-5007 2019-03-08
1467959312 Jordan Young Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2018-04-08
1003315631 Jordan J Young Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2018-02-09
1962843367 Jordan Leigh Young Speech-Language Pathologist 32 Garland Dr, Jackson, TN 38305-3602 2013-07-13

Office Location

Street Address 100 KNOTBREAK RD
City SALEM
State VA
Zip Code 24153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255350831 Marc A Swanson Anesthesiology 100 Knotbreak Rd, Salem, VA 24153 2006-07-18
1235737891 Emma Perdue Physician Assistant 100 Knotbreak Rd, Salem, VA 24153-5414 2020-10-15
1184284135 Adam Battaglia Physician Assistant 100 Knotbreak Rd, Salem, VA 24153-5414 2019-06-20
1033509088 Kaitlin Scott Daniels Physician Assistant 100 Knotbreak Rd, Salem, VA 24153 2015-01-29
1861753386 Andrew Richard Crichlow Anesthesiology 100 Knotbreak Rd, Salem, VA 24153 2012-05-31
1518118330 Blue Ridge Pain Management Associates, PC Anesthesiology 100 Knotbreak Rd, Salem, VA 24153 2008-10-10
1326299751 Dana Michelle Hurt Adams Physician Assistant 100 Knotbreak Rd, Salem, VA 24153 2008-10-03
1154571446 Laura Davis Physician Assistant 100 Knotbreak Rd, Salem, VA 24153 2008-09-24
1093806192 George M. Baylor Anesthesiology 100 Knotbreak Rd, Salem, VA 24153 2006-09-27
1134236763 Anthony Louis Dragovich Pain Medicine 100 Knotbreak Rd, Salem, VA 24153 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699374660 Sarah Ilana Katz Physician Assistant 11a Laurel St, Salem, MA 01970-4657 2020-10-21
1306444641 Zachary Wright Physician Assistant 11 Harley Ln, Salem, NH 03079-2888 2020-10-09
1174132195 Andrew Yosim Physician Assistant 1750 Pexton Ave, Salem, VA 24153-4108 2020-07-27
1689202269 Adam Joyce Physician Assistant 1005 Meadowrun Ct, Salem, VA 24153-6687 2020-03-30
1417504085 Alexis Marie Biewend Physician Assistant 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 2019-08-19
1497309322 Lindsey Ann Castleberry Physician Assistant 1111 Meadow Sage Cir, Salem, UT 84653-5578 2019-07-29
1134773450 Jillian Netland Physician Assistant 6507 Lipscomb St Se, Salem, OR 97317-9513 2019-07-25
1457827354 Gretchen Amrien Physician Assistant 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 2018-10-17
1649751934 Matthew Hansen Physician Assistant 875 Oak St. Se Ste 5020, Salem, OR 97301 2018-08-24
1487152948 Jessica Lynn Brooks Physician Assistant 875 Oak St Se Ste 5060, Salem, OR 97301 2018-01-30
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Competitor

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City SALEM
Zip Code 24153

Improve Information

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Dataset Information

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.

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