MR. JORDAN ROEDER (NPI# 1992294953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992294953 |
Entity Type | Individual |
Full Name | MR. JORDAN ROEDER |
Credential | AG-ACNP |
Practice Address |
3535 Olentangy River Rd Columbus OH 43214-3908 |
Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
Practice Telephone | 6145665000 |
Enumeration Date | 2018-05-05 |
Last Update Date | 2019-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
1635710 | CO | Allopathic & Osteopathic Physicians |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.023341 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3535 OLENTANGY RIVER RD |
City | COLUMBUS |
State | OH |
Zip Code | 43214-3908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980891 | Amy D Miracle | Advanced Practice Midwife | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2005-05-23 |
1295333102 | Amanda Rupert | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-10-13 |
1083228159 | Laura Rae Skirtich | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-09-04 |
1285247460 | Brittany Nicole Bourne | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-26 |
1356954614 | Patrick Christopher Hartnett | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3998 | 2020-08-26 |
1235741380 | Kathryn E Mckinnon | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-20 |
1083226393 | Brittany Vonau | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-18 |
1487279196 | Joseph Gene Lucas | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-09 |
1639793961 | Jordan Vance Dewitt | Pharmacist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-02 |
1154944239 | Javahn Lamar Iverson | Specialist/Technologist, Other | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
Find all providers in zip 43214 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
1548812159 | Holly Penix | Nurse Practitioner | 223 Bluewing Ct, Columbus, OH 43235-1490 | 2019-07-13 |
1558840496 | Sheila Parker Strickland | Nurse Practitioner | 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 | 2018-08-11 |
1669992822 | Susan Lee Mcfall | Nurse Practitioner | 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 | 2017-06-20 |
1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
1285095802 | Laura Aumiller | Nurse Practitioner | 842 Grandview Ave, Columbus, OH 43215-1124 | 2016-03-09 |
1457741498 | Roshann Palmer | Nurse Practitioner | 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 | 2015-01-29 |
1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
1144637299 | Jody Anne Howell | Nurse Practitioner | 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 | 2014-07-21 |
1538589536 | Courtney Dubois Shihabuddin | Nurse Practitioner | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2014-04-17 |
Find all providers in COLUMBUS |
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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.