JORDAN LANE MILAM (NPI# 1881158517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881158517 |
| Entity Type | Individual |
| Full Name | JORDAN LANE MILAM |
| Credential | PA |
| Practice Address |
5 Saint Vincent Cir Ste 100 Little Rock AR 72205-5415 |
| Practice Telephone | 5016636455 |
| Practice Fax Number | 5016644877 |
| Mailing Telephone | 5016636455 |
| Mailing Fax Number | 5016644877 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 111111111 | 05 |
| Street Address |
5 SAINT VINCENT CIR STE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508877903 | Bowen Hefley Rhodes Stewart Orthopedics, Pa | Family Medicine | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205 | 2006-08-10 |
| 1467993600 | Madeline Reid Richmond | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2017-03-20 |
| 1396052866 | Mary Anne Wildman | Physical Therapist | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2010-09-07 |
| 1881859478 | Samuel A Moore | Orthopaedic Surgery | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2008-07-23 |
| 1194905612 | Christopher H Casey | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
| 1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
| 1215472436 | Faye Mariz Laurio Razon | Physician Assistant | 4301 W Markham St, #713, Little Rock, AR 72205-7101 | 2016-12-23 |
| 1396115192 | Kumar Mahendra Patel | Physician Assistant | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2015-10-06 |
| 1437235207 | Zachary S. Webb | Physician Assistant | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1720164593 | Roger L. Sprague | Physician Assistant | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2006-10-27 |
| 1710062724 | Anderson L Benson Jr. | Physician Assistant | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
| 1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
| 1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
| 1316485857 | Farrah Jennings | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2017-02-04 |
| 1851764856 | Jonathon Michael Mccrary | Physician Assistant | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-11-12 |
| 1659790210 | Karla Heard | Physician Assistant | 2717 S 74th St, Fort Smith, AR 72903-5100 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.