JORDAN GREGORY MCDOUGAL (NPI# 1720509987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720509987 |
| Entity Type | Individual |
| Full Name | JORDAN GREGORY MCDOUGAL |
| Credential | ATC, LAT |
| Practice Address |
1625 Staffordshire Rd Stafford TX 77477-6326 |
| Mailing Address |
18545 University Blvd Apt 324 Sugar Land TX 77479-4353 |
| Practice Telephone | 2818619200 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6312 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943536 | Jordan Wade Mcdougal | Behavior Technician | 1411 Princess Anne Street, Fredericksburg, VA 22401 | 2018-12-17 |
| Street Address |
1625 STAFFORDSHIRE RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-6326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124055090 | David L Edell | Specialist/Technologist | 1625 Staffordshire Rd, Stafford, TX 77477-6326 | 2006-06-27 |
| 1750597043 | Stafford Municipal School District | Local Education Agency (LEA) | 1625 Staffordshire Rd, Stafford, TX 77477-6326 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183915 | Karl Hoelscher | Specialist/Technologist | 4800 Sugar Grove Blvd Ste 225, Stafford, TX 77477-2627 | 2019-09-15 |
| 1952877714 | Tabria Cochran | Specialist/Technologist | 505 Garrison Woods Dr Apt 221, Stafford, VA 22556-8042 | 2018-10-19 |
| 1922506054 | Patrick Robert Fleming | Specialist/Technologist | 217 Twinleaf Dr, Stafford, VA 22556-6622 | 2018-01-23 |
| 1841707221 | Brenna Burke | Specialist/Technologist | 56 Tanterra Dr, Stafford, VA 22556-8007 | 2018-01-06 |
| 1366840209 | Taylor Torino | Specialist/Technologist | 24 Tavern Rd, Stafford, VA 22554-8814 | 2014-12-09 |
| 1851795082 | Ashley Marie Armbruster | Specialist/Technologist | 1025 Dulles Ave, Apt 917, Stafford, TX 77477-5756 | 2014-10-17 |
| 1588077465 | Daniel Vincent Koehl | Specialist/Technologist | 5 Bryant St, Stafford, VA 22556-6213 | 2014-06-09 |
| 1881602076 | Chad A Cooke | Specialist/Technologist | 2135 Mountain View Rd, Stafford, VA 22556-6411 | 2006-08-03 |
| 1124055090 | David L Edell | Specialist/Technologist | 1625 Staffordshire Rd, Stafford, TX 77477-6326 | 2006-06-27 |
| 1558306993 | Catherine Wynn Hodgkins | Specialist/Technologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2006-06-19 |
| Find all providers in STAFFORD | ||||
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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.