DR. MICHAEL JORDAN (NPI# 1629493275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629493275 |
Entity Type | Individual |
Full Name | DR. MICHAEL JORDAN |
Credential | M.D. |
Practice Address |
2 Stone Gate Ct Setauket NY 11733-1346 |
Practice Telephone | 6319745018 |
Mailing Telephone | 6319745018 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-12-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
125543-1 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
1134469448 | Michael Jack Jordan | Counselor | 1418 Lindale Ave, Norman, OK 73069-4423 | 2013-02-22 |
1598971723 | Michael Wayne Jordan | Psychiatry & Neurology | 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 | 2007-05-15 |
1932283025 | Michael Thomas Jordan | Physician Assistant | Seminole Blvd, St. Petersburg, FL 33744 | 2006-10-25 |
1588755862 | Michael Arthur Jordan | Optometrist | 3063 Dauphin St, Mobile, AL 36606-4040 | 2006-09-28 |
1205816840 | Michael Couzens Jordan | Pediatrics | 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 | 2006-01-19 |
1104470848 | Michael Jordan | Pharmacist | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2019-07-31 |
1376103986 | Michael K Jordan | Behavior Technician | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-17 |
1699244418 | Michael D Jordan | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2018-11-21 |
1063994846 | Michael Jordan | Occupational Therapy Assistant | 1414 College St, Sulphur Springs, TX 75482-3431 | 2018-08-29 |
Street Address |
2 STONE GATE CT |
City | SETAUKET |
State | NY |
Zip Code | 11733-1346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
Find all providers in zip 11733 |
Taxonomy Code | 2083A0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Aerospace Medicine |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588867287 | Julielynn Wong | Preventive Medicine | 250 Rainbow Blvd Apt 802, Niagara Falls, NY 14303-1230 | 2007-06-08 |
1548320211 | Keith L Hiatt | Preventive Medicine | Keller Army Community Hospital 900 Washington Road, Attn Credentials, West Point Military Reservation, NY 10996-0001 | 2006-12-11 |
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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.