JORDY LOOSER (NPI# 1962449066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962449066 |
| Entity Type | Individual |
| Full Name | JORDY LOOSER |
| Credential | PA-C |
| Practice Address |
70 Butler St Salem NH 03079-3925 |
| Mailing Address |
70 Butler Street Salem NH 03079 |
| Practice Telephone | 6038932900 |
| Mailing Telephone | 6038932900 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-568 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0282P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3077059 | 05 | |
| NH | RAILROAD MEDICARE | P01425995 | 01 |
| Street Address |
70 BUTLER ST |
| City | SALEM |
| State | NH |
| Zip Code | 03079-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247630 | James A Whitlock | Psychiatry & Neurology | 70 Butler St, Salem, NH 03079-3925 | 2005-10-03 |
| 1538776703 | Venetia Yanna Grimes | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2020-09-30 |
| 1629683883 | Mackenzie Kolanda | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-09-14 |
| 1457965741 | Jarett Lee Miller | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-09-03 |
| 1730798083 | Rachel Macneill | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-07-23 |
| 1518583814 | Sarah Ward | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2020-06-23 |
| 1992321608 | Brionne Turcotte | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-06-18 |
| 1477175487 | Justine Razzaboni | Occupational Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-05-13 |
| 1235750845 | Tpcody Md, LLC | Physical Medicine & Rehabilitation | 70 Butler St, Salem, NH 03079-3925 | 2020-05-05 |
| 1780223826 | Julie Nicole Lepage | Specialist/Technologist | 70 Butler St, Salem, NH 03079-3974 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245538990 | Megan S Welch | Physician Assistant | 16 Pelham Rd Ste 1, Salem, NH 03079 | 2011-03-04 |
| 1265971386 | Angela Rehder | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301 | 2017-02-22 |
| 1942757224 | Rebecca Theisen | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-05 |
| 1184965253 | Casey Lewis Shaw | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2013-03-13 |
| 1093062960 | Christopher J Shields | Physician Assistant | 16 Pelham Rd, Ste 1, Salem, NH 03079-2826 | 2012-08-10 |
| 1851658975 | Nicole L Kehrer | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2012-04-13 |
| 1063795003 | Kevin Michael Dennis | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2011-09-26 |
| 1386948347 | Timothy Tseng | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2011-01-05 |
| 1144520453 | Melissa Brooke Barone | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2010-11-02 |
| 1700110616 | Dana Nicole Schenker | Physician Assistant | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2009-09-24 |
| Find all providers in SALEM | ||||
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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.