MICAH JORDAN (NPI# 1548886559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548886559 |
| Entity Type | Individual |
| Full Name | MICAH JORDAN |
| Practice Address |
357 Salem Ave Sw Apt 414 Roanoke VA 24016-3649 |
| Practice Telephone | 3016597448 |
| Mailing Telephone | 3016597448 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962942235 | Micah Jordan | Behavior Technician | 329 E 149th St, 4th Fl, Bronx, NY 10451-5601 | 2017-03-06 |
| Street Address |
357 SALEM AVE SW APT 414 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100990 | Joseph Alexander Montgomery | Physician Assistant | 357 Salem Ave Sw Apt 414, Roanoke, VA 24016-3649 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1275159287 | Paige Alexandra Hamay | Physician Assistant | 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 | 2020-06-25 |
| 1396360624 | Hannah Barnhill | Physician Assistant | 943 Murray Ave Se, Roanoke, VA 24013-1841 | 2020-06-12 |
| 1922623297 | Grace G Krotkov | Physician Assistant | 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930 | 2020-06-12 |
| 1639791270 | Megan Thorn | Physician Assistant | 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 | 2020-05-16 |
| 1952923914 | Sydney Lucille Hughes Adams | Physician Assistant | 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 | 2020-05-13 |
| 1780206268 | Katherine Cole | Physician Assistant | 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 | 2020-05-07 |
| 1205457033 | Kristin Marie Sammons | Physician Assistant | 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 | 2020-05-04 |
| 1407480460 | Amanda Joy Wheeler | Physician Assistant | 3626 Belle Ave Ne, Roanoke, VA 24012-6408 | 2020-02-28 |
| 1356981625 | Ryan Maurer Short | Physician Assistant | 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 | 2020-01-14 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on MICAH JORDAN.
| 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.