JORDAN MARK SHULMAN (NPI# 1861025991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861025991 |
| Entity Type | Individual |
| Full Name | JORDAN MARK SHULMAN |
| Practice Address |
1841 N Perry St Pontiac MI 48340-2235 |
| Practice Telephone | 2484094237 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1841 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145580 | Malaika Ghenet Ward | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2010-05-24 |
| 1093348906 | Robert Corey | Peer Specialist | 1841 N Perry St, Pontiac, MI 48340-2235 | 2020-02-19 |
| 1487284873 | Roger Sherman II II | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2020-01-24 |
| 1538716907 | Claire Efting | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2019-08-21 |
| 1801357694 | Darren Deon Long | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2019-03-26 |
| 1134683048 | Barbara Allyson Huey | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2019-01-24 |
| 1699253674 | Alexa Powell | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2018-08-01 |
| 1609388412 | Wendy Caroline Hills | Counselor | 1841 N Perry St, Pontiac, MI 48340-2235 | 2017-11-02 |
| 1952822702 | Ashley Crowder | Counselor | 1841 N Perry St, Pontiac, MI 48340-2235 | 2017-07-02 |
| 1881114734 | Teresa Ann Barr | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2017-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156919 | Larry G West II | Peer Specialist | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-08-24 |
| 1093348906 | Robert Corey | Peer Specialist | 1841 N Perry St, Pontiac, MI 48340-2235 | 2020-02-19 |
| 1528579174 | Michael Lee Mcfarland | Peer Specialist | 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341-1032 | 2017-10-22 |
| 1003331232 | Melvin Victor Eckles | Peer Specialist | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
| 1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
| 1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
| 1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
| 1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
| 1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
| 1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
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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.