KATIE ANN JORDAN (NPI# 1538323480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538323480 |
| Entity Type | Individual |
| Full Name | KATIE ANN JORDAN |
| Credential | PA |
| Practice Address |
150 Broad St Hamilton NY 13346-9575 |
| Practice Telephone | 3156486411 |
| Mailing Telephone | 3156486411 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2015-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA053285 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686464 | Katie Jordan | Dental Hygienist | 18190 Rainbow Dr, Lathrup Village, MI 48076-4518 | 2018-10-24 |
| 1962701086 | Katie Jordan | Speech-Language Pathologist | 492 Highway 25 N, Guy, AR 72061-7800 | 2011-03-16 |
| Street Address |
150 BROAD ST |
| City | HAMILTON |
| State | NY |
| Zip Code | 13346-9575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677452 | Reet Ivand | Anesthesiology | 150 Broad St, Community Memorial Hospital, Hamilton, NY 13346-9575 | 2005-05-24 |
| 1760035042 | Shannon Lynne Tilbe | Nurse Practitioner | 150 Broad St, Hamilton, NY 13346-9518 | 2019-07-16 |
| 1083275051 | April Lamunion | Nurse Practitioner | 150 Broad St, Hamilton, NY 13346-9575 | 2019-06-21 |
| 1760950422 | Daryl Anders Wilson | Nurse Practitioner | 150 Broad St, Hamilton, NY 13346-9575 | 2018-11-10 |
| 1316395460 | Port City Emergency Physicians LLP | Emergency Medicine | 150 Broad St, Hamilton, NY 13346-9575 | 2016-05-31 |
| 1184027930 | Pamela West | Dietitian, Registered | 150 Broad St, Hamilton, NY 13346-9575 | 2014-10-07 |
| 1891137600 | Steven M Martin | Pharmacist | 150 Broad St, Hamilton, NY 13346-9575 | 2013-07-22 |
| 1881824340 | Anthony A Capaccio | Physician Assistant | 150 Broad St, Hamilton, NY 13346-9575 | 2009-07-19 |
| 1679657225 | Vicky Stephens | Physician Assistant | 150 Broad St, Hamilton, NY 13346-9575 | 2006-10-24 |
| 1144242876 | Pathology Associates of Syracuse, PC | Pathology | 150 Broad St, Hamilton, NY 13346-9575 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215247648 | Deanna Lynn Irwin Caruso | Registered Nurse | 2477 River Road, Hamilton, NY 13346 | 2010-10-19 |
| 1174850739 | Jill A Clark | Massage Therapist | 54 C Utica St., Hamilton, NY 13346 | 2009-11-03 |
| 1205005931 | Michael P. Spellicy | Eyewear Supplier (Equipment, not the service) | 2730 Route 12b, Hamilton, NY 13346 | 2008-02-27 |
| 1174635270 | Dennis T Kochem Sr. | Orthotic Fitter | 2409 Johnnycake Hill Rd., Hamilton, NY 13346 | 2006-08-31 |
| 1689683062 | Jessica L Colby | Nurse Practitioner | Bassett Health, 1055 Madison Market Pl, Hamilton, NY 13346 | 2006-08-05 |
| 1073578357 | Andrew D Gracey | Physical Therapist | Hss Ancillary Services, PC, 85 College St, Hamilton, NY 13346 | 2006-04-19 |
| 1205825718 | Nancy Marie Adamy | Social Worker | 10 Utica St, Hamilton, NY 13346 | 2005-10-18 |
| 1417127721 | Faxton-st. Lukes Healthcare | Clinic/Center | 10 Eaton St, Suite 102, Hamilton, NY 13346 | 2008-03-04 |
| 1790740074 | Matthew D Wallace | Physical Therapist | Hss Ancillary Services, PC, 85 College St, Hamilton, NY 13346 | 2006-04-19 |
| 1972568327 | Cheryl L Perrault | Physical Therapist | Hss Ancillary Services, PC, 85 College St, Hamilton, NY 13346 | 2006-04-19 |
| Find all providers in zip 13346 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1831723709 | Nicole Patricia Stout | Physician Assistant | 168 Acres Dr, Hamilton, NJ 08690-3917 | 2020-02-28 |
| 1760016638 | Kristen Teixeira | Physician Assistant | 4 Longleaf Dr, Hamilton, NJ 08690-1358 | 2020-02-28 |
| 1053943282 | Liudmila Evdokimova | Physician Assistant | 3836 Quakerbridge Rd Ste 206, Hamilton, NJ 08619-1006 | 2020-02-05 |
| 1073023891 | Grant Ward | Physician Assistant | 400 N Brown St Bldg 2, Hamilton, TX 76531-1518 | 2017-10-06 |
| 1568900496 | Megan Beatrice Poynter | Physician Assistant | 5908 Green Crest Dr, Hamilton, OH 45011-2224 | 2017-02-11 |
| 1831647544 | Nicole Lynn Dobron | Physician Assistant | 25 Stevenson Ave, Hamilton, NJ 08619-1236 | 2016-09-12 |
| 1518385897 | Sarah Gaudiosi | Physician Assistant | 1374 Whitehorse Hamilton Square Rd Fl 2, Hamilton, NJ 08690 | 2014-04-03 |
| 1043369218 | Andria M Salzano | Physician Assistant | 25 Office Park Drive, Hamilton, OH 45013 | 2007-01-09 |
| 1306823802 | Phillip T Smith | Physician Assistant | 1 N Brookwood Ave, Hamilton, OH 45013 | 2005-12-27 |
| Find all providers in HAMILTON | ||||
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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.