ELLEN CATHERINE JORDAN (NPI# 1710389051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710389051 |
| Entity Type | Individual |
| Full Name | ELLEN CATHERINE JORDAN |
| Credential | PA-C |
| Practice Address |
503 Muir St Ste A Cambridge MD 21613-1848 |
| Practice Telephone | 4102284045 |
| Practice Fax Number | 4102216457 |
| Mailing Telephone | 4102284045 |
| Mailing Fax Number | 4102216457 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0005546 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649450206 | Ellen Christine Jordan | Counselor | 446 S High St, Sebastopol, CA 95472-4369 | 2007-11-11 |
| 1588122261 | Ellen Jordan | Nurse Practitioner | 424 E 34th St, New York, NY 10016-4901 | 2019-03-12 |
| 1750888426 | Ellen Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-10 |
| 1922288083 | Ellen Jordan | Physical Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2007-11-06 |
| Street Address |
503 MUIR ST STE A |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535518 | Lawrence A. Barrett II | Dentist | 503 Muir St Ste A, Cambridge, MD 21613 | 2005-08-15 |
| 1245837574 | Alexandra Barniea | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-10-09 |
| 1093334971 | Lawkpezi Abide Yawa Bagnabana | Student in an Organized Health Care Education/Training Program | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-04-10 |
| 1326675588 | Anna Zito Hackney | Dental Hygienist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-03-26 |
| 1144884834 | Raed Ayoub | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2019-04-28 |
| 1104330927 | Daniel Shields | Registered Nurse | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2017-12-01 |
| 1558713735 | Rachel Malinda Spellman | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-07-12 |
| 1497116735 | Myra Jehangir | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-03-15 |
| 1013252659 | Jovonne Chandler Osborne | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2012-12-09 |
| 1720353287 | Vicki Ann Hardisty | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827058 | Anupa Manjunatha | Physician Assistant | 33 Rogers St Apt 210, Cambridge, MA 02142-1516 | 2020-09-24 |
| 1083263594 | Katherine Lemons | Physician Assistant | 6 Crawford St Apt 10, Cambridge, MA 02139-1644 | 2019-09-06 |
| 1790346674 | Heather Ann Borden | Physician Assistant | 87 New St Unit 207, Cambridge, MA 02138-1287 | 2019-06-22 |
| 1902331408 | Celia Alexandra Charlois | Physician Assistant | 169 Monsignor Obrien Hwy, Apt 805, Cambridge, MA 02141-1289 | 2017-04-22 |
| 1609244078 | Shawna Young | Physician Assistant | 817 Main St N, Cambridge, MN 55008-1275 | 2015-09-02 |
| 1518304567 | Samantha L Elich | Physician Assistant | 1435 Cambridge Street, Cambridge, MA 02139-1047 | 2013-05-31 |
| 1912239468 | Jeffrey Eric Stark | Physician Assistant | 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 | 2010-02-09 |
| 1902418411 | Emily Grace Yanico | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-18 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1760029342 | Christina Leahy | Physician Assistant | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-12-03 |
| Find all providers in CAMBRIDGE | ||||
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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.