JORDAN E GOAD (NPI# 1639560857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639560857 |
| Entity Type | Individual |
| Full Name | JORDAN E GOAD |
| Credential | PA-C |
| Practice Address |
5783 Wooster Pike Medina OH 44256-8816 |
| Practice Telephone | 3307250569 |
| Practice Fax Number | 3306620258 |
| Mailing Telephone | 3307250569 |
| Mailing Fax Number | 3306620258 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004232RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0125673 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2865 Center Rd Ste 5, Brunswick, OH 442122324 | 3307250569 | 3306620258 |
| 5779 Wooster Pike, Medina, OH 442568816 | 3307250569 | 3306620258 |
| 128 E Milltown Rd Ste 208, Wooster, OH 446911276 | 3307250569 | 3306620258 |
| 300 Weatherstone Dr Ste 106, Wadsworth, OH 442817833 | 3307250569 | 3306620258 |
| 5779 Wooster Pike, Medina, OH 442568816 | 3307219990 | 3307234960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815664 | Jordan Lea Goad | Nurse Practitioner | 189 Medical Way Ste C, Riverdale, GA 30274-4905 | 2019-01-22 |
| Street Address |
5783 WOOSTER PIKE |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304560 | Robert Edward Marsico Sr. | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2005-05-27 |
| 1023507001 | Sarah Grace Michalak | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2018-05-06 |
| 1760993018 | Gabriella Catherine Furfari | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2017-10-13 |
| 1386191724 | Farah Edds | Physician Assistant | 5783 Wooster Pike, Medina, OH 44256-8816 | 2016-09-01 |
| 1609254192 | Molly Nicole Verhoff | Physician Assistant | 5783 Wooster Pike, Medina, OH 44256-8816 | 2015-05-15 |
| 1346635406 | Matthew Stephen Reedy | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2015-04-05 |
| 1255656096 | Meghan M Crute | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2010-04-05 |
| 1629264676 | Dana Lynn Pilz | Physician Assistant | 5783 Wooster Pike, Medina, OH 44256-8816 | 2007-09-23 |
| 1801001219 | Anya Enriquez | Dermatology | 5783 Wooster Pike, Medina, OH 44256-8816 | 2007-05-11 |
| 1215088562 | Leonard Joseph Torok | Orthopaedic Surgery | 5783 Wooster Pike, Medina, OH 44256-8816 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578882783 | Carol L Jones | Physician Assistant | 801 E. Washington St., Medina, OH 44256-1847 | 2010-05-27 |
| 1518075878 | Sarah E Cawley | Physician Assistant | 5575 Columbia Rd, Medina, OH 44256-8599 | 2006-08-28 |
| 1679063382 | Shalini Baijal | Physician Assistant | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2018-05-17 |
| 1386191724 | Farah Edds | Physician Assistant | 5783 Wooster Pike, Medina, OH 44256-8816 | 2016-09-01 |
| 1275565467 | Buel E. Hall | Physician Assistant | 1000 E Washington St, Medina, OH 44256-2170 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
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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.