JORDAN LUCILLE JUPENA (NPI# 1811418734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811418734 |
| Entity Type | Individual |
| Full Name | JORDAN LUCILLE JUPENA |
| Credential | PA-C |
| Practice Address |
4815 Liberty Ave Ste 439 Pittsburgh PA 15224-2156 |
| Practice Telephone | 4125783925 |
| Practice Fax Number | 4126056364 |
| Mailing Telephone | 4125783925 |
| Mailing Fax Number | 4126056364 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059117 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14055112 | 01 | |
| PA | 103325844 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4815 Liberty Ave Ste 437, Pittsburgh, PA 152242156 | (412) 578-3925 | 4126056364 |
| Street Address |
4815 LIBERTY AVE STE 439 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430755 | Howard J Senter | Neurological Surgery | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2005-07-08 |
| 1265997019 | Rachel Lynn Mcgurk | Dietitian, Registered | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2019-02-06 |
| 1861961377 | Alison C Mckelvey | Physician Assistant | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2018-11-14 |
| 1063959245 | Patricia L Habdas | Nurse Practitioner | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2017-01-25 |
| 1053789834 | Leah Jewell | Speech-Language Pathologist | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224 | 2015-09-10 |
| 1427433127 | Xinxin S Shen | Physician Assistant | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2015-07-23 |
| 1164805560 | Jane Marie Ohde | Surgery | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2015-07-02 |
| 1538540679 | Matthew R Smith | Surgery | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2015-06-15 |
| 1992192959 | Scott Morton | Surgery | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2015-04-16 |
| 1205255809 | John Glenn Burkett | Psychiatry & Neurology | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
Please comment or provide details below to improve the information on JORDAN LUCILLE JUPENA.
| 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.