MICHAEL CHRISTOPHER JORDAN (NPI# 1780034066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780034066 |
| Entity Type | Individual |
| Full Name | MICHAEL CHRISTOPHER JORDAN |
| Credential | LAT ATC |
| Practice Address |
1325 Mcfarland Blvd Northport AL 35476-3270 |
| Mailing Address |
5122 Blackstone Ln Northport AL 35473-1092 |
| Practice Telephone | 2053334766 |
| Practice Fax Number | 2053334776 |
| Mailing Telephone | 2056039961 |
| Mailing Fax Number | 2053334776 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1245 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF ATHLETIC TRAINERS | 1245 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1629493275 | Michael Jordan | Preventive Medicine | 2 Stone Gate Ct, Setauket, NY 11733-1346 | 2014-02-19 |
| 1134469448 | Michael Jack Jordan | Counselor | 1418 Lindale Ave, Norman, OK 73069-4423 | 2013-02-22 |
| 1598971723 | Michael Wayne Jordan | Psychiatry & Neurology | 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 | 2007-05-15 |
| 1932283025 | Michael Thomas Jordan | Physician Assistant | Seminole Blvd, St. Petersburg, FL 33744 | 2006-10-25 |
| 1588755862 | Michael Arthur Jordan | Optometrist | 3063 Dauphin St, Mobile, AL 36606-4040 | 2006-09-28 |
| 1205816840 | Michael Couzens Jordan | Pediatrics | 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 | 2006-01-19 |
| 1104470848 | Michael Jordan | Pharmacist | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2019-07-31 |
| 1376103986 | Michael K Jordan | Behavior Technician | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-17 |
| 1699244418 | Michael D Jordan | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2018-11-21 |
| Street Address |
1325 MCFARLAND BLVD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504336 | Luis Ronald Pernia | Specialist | 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 | 2005-11-07 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1316320054 | Amy Lee Wambolt | Student in an Organized Health Care Education/Training Program | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1275926719 | Capstone Health Services Foundation PC | Clinic/Center | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-03-09 |
| 1750798534 | Jessica Hester | Nurse Practitioner | 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 | 2014-07-14 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1689980484 | Flh, Inc. | Physical Medicine & Rehabilitation | 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 | 2010-08-31 |
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
| 1285826057 | Kimberly Ellison Wilson | Nurse Practitioner | 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| 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 |
|---|---|---|---|---|
| 1629606439 | Seth Peyton Nicholas | Specialist/Technologist | 11274 Persinger Cir, Northport, AL 35475-4970 | 2020-03-28 |
| 1194352161 | Katelin Ryan-crigler | Specialist/Technologist | 12950 Garden Creek Ln, Northport, AL 35473-6028 | 2020-03-26 |
| 1013472588 | Lauren Elizabeth Baker | Specialist/Technologist | 364 36th St, Northport, AL 35473-2704 | 2019-02-08 |
| 1851329130 | Sheryl Lynne Hendrix | Specialist/Technologist | Dch Sportsmedicine, 1325 Mcfarland Blvd, Northport, AL 35476 | 2006-06-28 |
| 1982678801 | Leslie Kinsaul Welch | Specialist/Technologist | 5690 Watermelon Rd Ste 100, Northport, AL 35473-5008 | 2006-02-15 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1780613091 | Mary Tew Long | Specialist/Technologist | 1325 Mcfarland Blvd, The Sports and Medicine Complex, Northport, AL 35476-3270 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1114524261 | David B Bentley | Specialist/Technologist | 1121 Williamsburg Dr, Mobile, AL 36695-3541 | 2020-10-01 |
| 1114533023 | Gregory Blake Revette | Specialist/Technologist | 910 Warrior Dr, Centre, AL 35960-1099 | 2020-09-17 |
| 1710590567 | Jessica Snider | Specialist/Technologist | 300 Cedars Rd, Munford, AL 36268-7105 | 2020-08-30 |
| 1427660158 | Faith Anneliese Monroe | Specialist/Technologist | 229 Dozier Dr Apt 415, Troy, AL 36081-3040 | 2020-08-24 |
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1972115616 | Hannah Grace Foster | Specialist/Technologist | 4031 Wiregrass Dr, Dothan, AL 36301-9500 | 2020-08-22 |
| 1609493089 | James David Bush | Specialist/Technologist | 1147 Highway 231 S Ste 9&10, Troy, AL 36081-3026 | 2020-07-01 |
| 1245850338 | Krishanna Le'mya Johnson | Specialist/Technologist | 4590 Mccalla Trace Pkwy, Bessemer, AL 35022-5490 | 2020-04-20 |
| 1619505906 | Lauren Julich | Specialist/Technologist | 2012 Crossvine Rd, Hoover, AL 35244-1512 | 2020-03-31 |
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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.