JORDAN W NORTH


Address: 1648 Ellis St Ste 102, Bozeman, MT 59715
Phone: 4065851440

JORDAN W NORTH (NPI# 1841521614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841521614
Entity Type Individual
Full Name JORDAN W NORTH
Credential CPO
Practice Address 1648 Ellis St Ste 102
Bozeman
MT 59715
Mailing Address 1648 Ellis St Ste 102
Bozeman
MT 59715-8811
Practice Telephone 4065851440
Practice Fax Number 4065851438
Mailing Telephone 4065851440
Mailing Fax Number 4065851438
Enumeration Date 2010-01-19
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3400 Latouche St Ste 100, Anchorage, AK 995084208 9075611777 9075612157

Other Providers JORDAN NORTH

NPI Name Taxonomy Address Enumeration
1790275527 Jordan North Case Manager/Care Coordinator 1818 W 3rd St, Dayton, OH 45417 2018-05-17

Office Location

Street Address 1648 ELLIS ST STE 102
City BOZEMAN
State MT
Zip Code 59715

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NPI Name Taxonomy Address Enumeration
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1831715994 Alyson Raph Student in an Organized Health Care Education/Training Program 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 2020-06-24
1639702780 Miranda Shields Massage Therapist 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 2020-02-18
1154988590 Christina Yancy Massage Therapist Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 2019-05-21
1962068767 Julie A Hisey Physical Therapist 1700 W. Koch, Suite 12, Bozeman, MT 59715 2019-05-16
1639631633 Joshua Wallace Massage Therapist 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 2019-04-01
1528523388 Judith Margaret Firehammer Psychologist 37 East Main St, Suite 7, Bozeman, MT 59715 2019-02-06
1194280875 Erica Kotick Counselor 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 2019-02-06
1194291609 Providence Mental Health Pllc Social Worker 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 2018-10-23
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710906458 James M Middleton Prosthetist 1139 N 27th St, Suite Sb2, Billings, MT 59101-0117 2006-07-19

Competitor

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City BOZEMAN
Zip Code 59715

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Dataset Information

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.

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