MRS. JORDAN CASSELLA (NPI# 1942557855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942557855 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN CASSELLA |
| Other Name | MISS JORDAN KUSTERER |
| Credential | PA-C |
| Practice Address |
6701 N Charles St Towson MD 21204-6881 |
| Mailing Address |
6701 N Charles St Towson MD 21204-6808 |
| Practice Telephone | 4438492260 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004682 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 Franklin Square Dr, Baltimore, MD 212373901 | 4437777000 |
| Street Address |
6701 N CHARLES ST |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503139 | Javariya Nisar | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-09-22 |
| 1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
| 1013544519 | Aloise Diedrich | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-25 |
| 1144857509 | Eric Mbugua Thuo | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-25 |
| 1194352773 | Vignesh Kartik Harish | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-24 |
| 1184251779 | Ayesha Khan | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1538796123 | Fatima Abdullahi Halilu | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
| 1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
| 1972150019 | Kimberly Welch Blay | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669941670 | Vonai Mary Moyo | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6881 | 2018-11-19 |
| 1912390832 | Rosemarie Collins | Physician Assistant | 7601 Osler Dr, Towson, MD 21204-7700 | 2015-03-17 |
| 1922401942 | Rebecca Wood | Physician Assistant | 8000 York Rd, Towson, MD 21252-3226 | 2014-10-04 |
| 1790186922 | Benjamin John Gardner | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2014-09-08 |
| 1730580960 | Michael Joseph Miller | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2014-09-08 |
| 1598105207 | Samantha Fischer | Physician Assistant | 7501 Osler Dr Ste 205, Towson, MD 21204-7743 | 2013-06-26 |
| 1730347147 | Sharon Lynn Ford | Physician Assistant | 7401 Osler Dr, Suite 205, Towson, MD 21204-7673 | 2008-06-02 |
| 1568659753 | Ifejola Ade-ayeni | Physician Assistant | 720 Bosley Ave, Towson, MD 21204-4011 | 2007-10-01 |
| 1295861805 | Stephen L Geckle | Physician Assistant | 6565 N Charles St, Suite 512, Towson, MD 21204-6800 | 2007-02-26 |
| 1124038906 | Brian W Horgan | Physician Assistant | 8415 Bellona Ln, Towson, MD 21204-2055 | 2006-08-08 |
| Find all providers in TOWSON | ||||
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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.