JORDAN CARLTON SCHRAMM (NPI# 1588976328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588976328 |
| Entity Type | Individual |
| Full Name | JORDAN CARLTON SCHRAMM |
| Credential | MD |
| Practice Address |
1055 N 300 W Ste 401 Provo UT 84604-3306 |
| Practice Telephone | 8013577499 |
| Practice Fax Number | 8013735980 |
| Mailing Telephone | 8013577499 |
| Mailing Fax Number | 8013735980 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 9712365-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
9712365-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1055 N 300 W STE 401 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467535138 | Amanda G Lewis | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-10-24 |
| 1891253456 | Laura Savage | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2019-03-03 |
| 1619383494 | Sarah Anne Cordingley | Audiologist | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2014-07-01 |
| 1760800353 | Ryan Mark Stephenson | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2014-04-01 |
| 1346518867 | Mary Elizabeth Marble | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2011-12-12 |
| 1851506786 | Seth A Riddle, M.d. P.C. | Surgery | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2007-05-14 |
| 1326126772 | Seth A Riddle, M.d., P.C. | Otolaryngology | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134355225 | Phillip Lee Chaffin Jr. | Otolaryngology | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063876100 | University of Utah Pediatric Services | Otolaryngology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1285074617 | Melanie Duval | Otolaryngology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2013-06-29 |
| 1841348240 | Steven Michael Kelly | Otolaryngology | 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7667 | 2007-01-08 |
| 1477643070 | Johannes Fredrik Grimmer | Otolaryngology | 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| 1972693596 | Albert H. Park | Otolaryngology | 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| 1255421863 | Harlan Ray Muntz | Otolaryngology | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| 1508875857 | University of Utah Otolaryngology Pediatrics | Otolaryngology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-08-05 |
| 1417986209 | University Ear Nose and Throat Associates | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-07-02 |
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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.