BENJAMIN C JORDAN (NPI# 1922393396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922393396 |
| Entity Type | Individual |
| Full Name | BENJAMIN C JORDAN |
| Credential | MD |
| Practice Address |
700 S Park St Madison WI 53715 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6082602900 |
| Practice Fax Number | 6082602961 |
| Mailing Telephone | 6082501497 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
69722-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461369 | Benjamin Jordan | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-29 |
| 1437413119 | Benjamin Craig Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-27 |
| 1669606992 | Benjamin Edward Jordan | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203 | 2009-05-15 |
| 1386845535 | Benjamin Jordan | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2007-05-29 |
| 1457331845 | Benjamin William Jordan | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2006-01-20 |
| Street Address |
700 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123003 | Marilyn J Borst | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2005-06-09 |
| 1487266714 | Charlene Jenkins | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-08-18 |
| 1073130480 | Amanda Mcafee | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-07-01 |
| 1235759150 | Edriss Drammeh | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-04-21 |
| 1700424777 | Elizabeth H Kuhn | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-12-20 |
| 1295373710 | Lauren Nicole Tobasco | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2019-12-16 |
| 1629610795 | Amanda L Schneider | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-10-10 |
| 1366092017 | Mitchell John Wilkins | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-09-16 |
| 1578119285 | Gary Terlizzi | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-08-18 |
| 1699327304 | Ann R Madden | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699200378 | Andrea Um | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
| 1861855017 | Alexander Donald Leung | Surgery | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-04 |
| 1053792457 | Eric Whittington | Surgery | 600 Highland Ave, Madison, WI 53792-1511 | 2015-06-11 |
| 1518347525 | North Alabama Vascular Care LLC | Surgery | 9238 Madison Blvd, Building #2 Ste 114, Madison, AL 35758-9100 | 2015-06-04 |
| 1417344219 | Kevin Ransom Au | Surgery | 700 S Park St Ste A, Madison, WI 53715-1830 | 2015-04-20 |
| 1932517976 | Toshio Takayama | Surgery | 600 Highland Ave, Csc Department of Surgery Administration Mc: 7375, Madison, WI 53792-0001 | 2014-07-22 |
| 1114345139 | Jason Ting Le | Surgery | 600 Highland Ave, H4/831, Madison, WI 53792 | 2014-04-07 |
| 1285945824 | Richard A Denney | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-06-29 |
| 1598076630 | Courtney E. Morgan | Surgery | 451 Junction Rd, Madison, WI 53717-2656 | 2010-06-23 |
| 1275862716 | Dai Yamanouchi | Surgery | 600 Highland Ave, Madison, WI 53792-3236 | 2009-12-11 |
| Find all providers in MADISON | ||||
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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.