MILAN JORDAN (NPI# 1649264441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649264441 |
| Entity Type | Individual |
| Full Name | MILAN JORDAN |
| Credential | MD |
| Practice Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203203165 |
| Practice Fax Number | 9303203169 |
| Mailing Telephone | 9203202591 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
32315 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34516300 | 05 | |
| WI | 208600000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366569592 | Milan Jordan | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2007-03-23 |
| Street Address |
2300 WESTERN AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534823 | Hailey Elizabeth Boyer | Speech-Language Pathologist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-09-26 |
| 1255971313 | Sara Lubner | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-01-07 |
| 1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
| 1427610989 | Brianna Groelle | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-07-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1780174664 | Jenna Mae Domino | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220 | 2018-05-16 |
| 1811405467 | Holy Family Memorial Inc | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-01-17 |
| 1386160935 | Patricia Josephine Lohr | Occupational Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-08-16 |
| 1134668221 | Amanda Kay Werner | Physician Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-02-22 |
| 1558811489 | Jamie Christine Moline | Pharmacist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537728 | Holy Family Memorial Inc | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649454489 | Warren H De Kraay Sr. | Surgery | 3325 Pleasant Lane, Racine, WI 53405 | 2007-12-27 |
| 1932308186 | Great Lakes Medical & Surgical Center | Surgery | 6000 South 27th Street, Milwaukee, WI 53221 | 2007-07-17 |
| 1215020326 | Richard J Grieshop | Surgery | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2006-10-02 |
| 1740245356 | Deborah L Manjoney | Surgery | 1231 George Towne Drive, Suite G, Pewaukee, WI 53072 | 2006-04-18 |
| 1104880814 | William D Turnipseed | Surgery | 2128 Bridge Ln, Verona, WI 53593-8838 | 2006-04-12 |
| 1104803352 | John W Oren | Surgery | 10509 N Manor Cir, Mequon, WI 53092-5172 | 2005-12-29 |
| 1275157943 | Neurospine and Endovascular Center LLC | Surgery | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 | 2020-05-29 |
| 1699200378 | Andrea Um | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
| 1861855017 | Alexander Donald Leung | Surgery | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-04 |
| 1053792457 | Eric Whittington | Surgery | 600 Highland Ave, Madison, WI 53792-1511 | 2015-06-11 |
| 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.