JORDAN DALE WHITAKER


Address: 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431
Phone: 6062567488

JORDAN DALE WHITAKER (NPI# 1659922250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659922250
Entity Type Individual
Full Name JORDAN DALE WHITAKER
Credential PA
Practice Address 1770 Lake Cumberland Rd
Mount Vernon
KY 40456-8431
Practice Telephone 6062567488
Practice Fax Number 6062568036
Mailing Telephone 6062567488
Mailing Fax Number 6062568036
Enumeration Date 2019-09-25
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant TC870 KY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JORDAN WHITAKER

NPI Name Taxonomy Address Enumeration
1295004174 Jordan Whitaker Occupational Therapist 10 Medical Blvd, Hattiesburg, MS 39401-7230 2011-12-21

Office Location

Street Address 1770 LAKE CUMBERLAND RD
City MOUNT VERNON
State KY
Zip Code 40456-8431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396263000 Rockcastle County Hospital, Inc. Clinic/Center 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 2017-09-01
1164036281 Latoya Lamb Nurse Practitioner 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 2020-09-04
1932768033 Jennifer T. Cash Nurse Practitioner 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 2019-06-12
1689156747 Brislyn Karr Saylor Physician Assistant 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 2018-09-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700274248 Angela Joy Silva Counselor 20 Lovell Court, Mt Vernon, KY 40456 2015-01-07
1992128045 Health Help Inc Pharmacy 116 Progress Drive, Mount Vernon, KY 40456 2014-01-27
1376703017 Cumberland Valley Dist Health Dept Public Health or Welfare 1545 Lake Cumberland Road, Mt Vernon, KY 40456 2008-06-16
1386803401 Mt Vernon Partials and Dentures Denturist 571 Richmond Street, Mt Vernon, KY 40456 2008-06-04
1285817973 Lloyd L. Cain O.d Eyewear Supplier (Equipment, not the service) 205 Richmond Street, Mount Vernon, KY 40456 2007-12-17
1669652210 Main Street Pharmacy LLC Durable Medical Equipment & Medical Supplies 150 Main Street Pharmacy, Mt Vernon, KY 40456 2007-11-13
1952516197 Suzann Fenton Specialist 4192 Wilderness Rd, Mt. Vernon, KY 40456 2007-05-11
1659595304 Rockcastle County Adult Health Care Clinic/Center 1260 S. Wilderness Road, Mount Vernon, KY 40456 2007-04-12
1790909075 Teresa Blair Dietitian, Registered 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 2007-04-11
1972622066 Tracy Renee King Pharmacist 110 Newcomb Avenue, Mt. Vernon, KY 40456 2007-03-28
Find all providers in zip 40456

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982249124 Leticia B Barrientos Physician Assistant 472 Gramatan Ave Apt Bb4, Mount Vernon, NY 10552-2979 2019-11-12
1396390522 Elizabeth Kuriakose Physician Assistant 203 Gramatan Ave Ste A, Mount Vernon, NY 10550-1291 2019-08-05
1174941728 Lyndsey Switzer Physician Assistant 1600 Continental Pl Ste 101, Mount Vernon, WA 98273-5607 2014-04-01
1255585311 Pamela Welch Physician Assistant 5754 Farm Road 21, Mount Vernon, TX 75457-7749 2008-11-15
1881857787 Telesforo Llamas Jr. Physician Assistant 2 Fisher Dr, Apartment 607, Mount Vernon, NY 10552-3666 2008-07-10
1275712614 Naima R Abdus-salaam Physician Assistant 495 N Fulton Ave, Mount Vernon, NY 10552-1909 2007-11-02
1316006588 Lee Barry Leavelle Physician Assistant 107 W 4th Street, Mount Vernon Neighborhood Health Ctr, Mount Vernon, NY 10550 2006-12-06
1215096359 Patricia Taddeo Physician Assistant 107 West Fourth St, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550 2006-12-06
1831270065 Rochelle A, Trussell Physician Assistant 1400 E. Kincaid St, Mount Vernon, WA 98274-4127 2006-10-17
1750497061 Shirley Dallmier Physician Assistant 3307 Broadway St Ste 130, Physician Rural Health Clinic of Jefferson County, Mount Vernon, IL 62864-2387 2006-08-21
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 40456

Improve Information

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Dataset Information

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.

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