MR. CRAIG MICHAEL JORDAN (NPI# 1992260038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992260038 |
| Entity Type | Individual |
| Full Name | MR. CRAIG MICHAEL JORDAN |
| Credential | CDCA |
| Practice Address |
2863 State Route 45 N Rock Creek OH 44084-9352 |
| Mailing Address |
110 Orchard Ave Niles OH 44446-5242 |
| Practice Telephone | 4405633400 |
| Mailing Telephone | 4409698088 |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2019-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
140478 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313030 | Craig William Jordan | Optometrist | 12416 Hymeadow Dr Ste 100, Austin, TX 78750-2282 | 2016-05-13 |
| 1881815793 | Craig Michael Jordan | Occupational Therapist | 620 Palmer Ave Ste 2, Falmouth, MA 02540-5103 | 2007-05-01 |
| 1467521328 | Craig Logan Jordan | Chiropractor | 10817 W Lincoln Ave, West Allis, WI 53227-1127 | 2006-11-07 |
| 1609983428 | Craig Alan Jordan | Counselor | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2006-08-25 |
| 1386638567 | Craig Eugene Jordan | Audiologist | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2005-09-02 |
| Street Address |
2863 STATE ROUTE 45 N |
| City | ROCK CREEK |
| State | OH |
| Zip Code | 44084-9352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790761922 | Ashtabula County Medical Center | Special Hospital | 2863 State Route 45 N, P O Bo 298, Rock Creek, OH 44084-9352 | 2005-12-20 |
| 1114534153 | Carolanne Semancik | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-09-24 |
| 1053920595 | Ryan Robert Wood | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-07-30 |
| 1902428949 | Leah Hoogewind | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-13 |
| 1811519820 | Stevie Allison Williamson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-13 |
| 1295357366 | Scott Lee Bell | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1407478480 | Jessica Ann Nelson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1578185740 | Brian David Turk | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-11 |
| 1134740269 | Mary Frances Capitena-bento | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-04-29 |
| 1215560156 | Marleah Williams | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627761 | Brittny Lee Eliason | Social Worker | 2863 North Main St, Rock Creek, OH 44084 | 2020-04-03 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1992881163 | Sherry Renee Harris | Nurse's Aide | 2944 Rice Rd, Rock Creek, OH 44084 | 2006-10-31 |
| 1548827116 | Robin Deemer | Counselor | 2863 Oh-45, Rock Creek, OH 44084-0298 | 2019-05-20 |
| 1295012409 | Robert William Keaton | Physician Assistant | 2863 Rt 45, Rock Creek, OH 44084-0298 | 2011-11-16 |
| 1679925176 | Rickey Harris | Driver | 2789 Jefferson St Apt 702, Rock Creek, OH 44084-8603 | 2016-07-07 |
| 1093946196 | University Hospital Medical Group, Inc. | Internal Medicine | 3330 S Main St, 1st Floor, Rock Creek, OH 44084-9356 | 2009-08-06 |
| 1245461326 | Tamela Wise | Licensed Practical Nurse | 3332 Knowlton Rd, Rock Creek, OH 44084-9409 | 2009-08-06 |
| 1235619255 | Alaina Raynee Haidon I | Case Manager/Care Coordinator | 3134 N Main St, Rock Creek, OH 44084-9442 | 2018-08-20 |
| 1881208403 | Molly Elizabeth Martin | Speech-Language Pathologist | 3134 N Main St, Rock Creek, OH 44084-9442 | 2020-09-01 |
| Find all providers in zip 44084 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827116 | Robin Deemer | Counselor | 2863 Oh-45, Rock Creek, OH 44084-0298 | 2019-05-20 |
| 1114534153 | Carolanne Semancik | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-09-24 |
| 1053920595 | Ryan Robert Wood | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-07-30 |
| 1902428949 | Leah Hoogewind | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-13 |
| 1295357366 | Scott Lee Bell | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1407478480 | Jessica Ann Nelson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1578185740 | Brian David Turk | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-11 |
| 1134740269 | Mary Frances Capitena-bento | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-04-29 |
| 1215560156 | Marleah Williams | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-02-19 |
| 1396381711 | Angela Marie Smith | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2019-11-20 |
| Find all providers in ROCK CREEK | ||||
| City | ROCK CREEK |
| Zip Code | 44084 |
Please comment or provide details below to improve the information on MR. CRAIG MICHAEL JORDAN.
| 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.