MARK JORDAN (NPI# 1770521080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770521080 |
| Entity Type | Individual |
| Full Name | MARK JORDAN |
| Credential | M.D. |
| Practice Address |
2546 Balltown Rd Suite 300 Schenectady NY 12309-1079 |
| Practice Telephone | 5183778184 |
| Practice Fax Number | 5183745918 |
| Mailing Telephone | 5183778184 |
| Mailing Fax Number | 5183745918 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
185349 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
185349 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760938310 | Mark Jordan | Pharmacist | 5719 Us 23, Oscoda, MI 48750 | 2016-09-01 |
| 1326459892 | Mark Jordan | Case Manager/Care Coordinator | 300 Hartford Dr, Lancaster, OH 43130-1571 | 2014-05-18 |
| 1568801025 | Mark Allen Jordan | Orthopaedic Surgery | 9600 Gross Point Rd Ste 2900, Skokie, IL 60076-1214 | 2013-06-18 |
| 1881772309 | Mark Vernon Jordan | Internal Medicine | 12801 W Wyndridge Ct Apt 203, New Berlin, WI 53151-8799 | 2006-11-01 |
| 1013478338 | Mark Austin Jordan | Behavior Technician | 29174 Sw Town Center Loop W Ste 101, Wilsonville, OR 97070-9309 | 2019-03-28 |
| 1619212966 | Mark Franklin Jordan | Dentist | 6120 Paseo Del Norte, K1, Carlsbad, CA 92011-1150 | 2012-11-27 |
| 1063748085 | Mark Jordan | Pharmacist | 2400 S Avenue A, Yrmc Pharmacy Department, Yuma, AZ 85364-7127 | 2009-10-27 |
| 1740374461 | Mark Jordan | Psychologist | 2701 W 68th Street, Chicago, IL 60629 | 2006-10-03 |
| 1902901937 | Mark Saunders Jordan | Specialist | 117 E Kings Hwy, Eden, NC 27288-5201 | 2006-09-14 |
| 1831121607 | Mark Louis Jordan | Urology | 90 Bergen St, Doc 2300, Newark, NJ 07103-2425 | 2006-07-06 |
| Street Address |
2546 BALLTOWN RD SUITE 300 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12309-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879141 | Schenectady Radiologists, P.C. | Specialist | 2546 Balltown Rd, Suite 100, Schenectady, NY 12309-1079 | 2006-02-08 |
| 1083100408 | Ryan Michael Mcvaigh | Physician Assistant | 2546 Balltown Rd, Schenectady, NY 12309-1082 | 2018-07-09 |
| 1023552940 | Ashley Resetarits | Physician Assistant | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1082 | 2016-12-12 |
| 1144779489 | Kelly Marisa Parkes | Physician Assistant | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1083 | 2016-09-28 |
| 1568885473 | Shanon Rose Kress | Nurse Practitioner | 2546 Balltown Rd, Schenectady, NY 12309-1079 | 2014-01-28 |
| 1013179944 | Saddam Saleh Abisse | Internal Medicine | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1082 | 2008-07-01 |
| 1811183650 | Andalib Nawab | Internal Medicine | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1079 | 2007-09-14 |
| 1457558108 | Steven Frank Giovannone | Internal Medicine | 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1079 | 2007-06-27 |
| 1811008600 | Christina E Mcgaffin | Nurse Practitioner | 2546 Balltown Rd, Suite 200, Schenectady, NY 12309-1079 | 2006-08-31 |
| 1649381435 | Natalie A Hyde | Physician Assistant | 2546 Balltown Rd, Suite 200, Schenectady, NY 12309-1079 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12309 |
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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.