Shaletra L Jordan (NPI# 1699164285, PAC ID# 2062739832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1699164285 |
| PAC ID by PECOS | 2062739832 |
| Professional Enrollment ID | I20150317000382 |
| Full Name | Shaletra L Jordan |
| Organization Legal Name | VASCULAR ANESTHESIA ASSOCIATES PLLC |
| Address |
1213 Hermann Dr Suite 255 Houston TX 77004-7074 |
| Phone Number | 7139551707 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941534770 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450018 | UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON |
| Address | Phone | Organization |
|---|---|---|
| 301 University Blvd, Galveston, TX 77555-5302 | 4097722222 | UTMB FACULTY GROUP PRACTICE |
| 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 | 7139551707 | VASCULAR ANESTHESIA ASSOCIATES PLLC |
| 2222 Greenhouse Rd, Suite 1500, Houston, TX 77084-7855 | 7134649100 | VASCULAR ANESTHESIA ASSOCIATES PLLC |
| 444 Fm 1959 Rd, A, Houston, TX 77034-5416 | 2814819400 | GULF COAST ANESTHESIA LLC |
| 2240 Gulf Fwy S, Utmb Specialty Care Center At Victo, League City, TX 77573-5143 | 8325051234 | UTMB FACULTY GROUP PRACTICE |
| 2280 Gulf Fwy S, Suite 2.1600, League City, TX 77573-5143 | 8325054000 | UTMB FACULTY GROUP PRACTICE |
| 20403 University Blvd, Suite 600, Sugar Land, TX 77478-4978 | 8329813529 | VASCULAR ANESTHESIA ASSOCIATES PLLC |
| 200 Blossom St, Webster, TX 77598-4204 | 8326326500 | UTMB FACULTY GROUP PRACTICE |
| 250 Blossom St, Webster, TX 77598-4204 | 4097722222 | UTMB FACULTY GROUP PRACTICE |
| Organization Legal Name | VASCULAR ANESTHESIA ASSOCIATES PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanetra O Hodge-hill | Certified Registered Nurse Anesthetist (crna) | Vascular Anesthesia Associates Pllc | 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 |
| Street Address |
1213 HERMANN DR SUITE 255 |
| City | HOUSTON |
| State | TX |
| Zip | 77004-7074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan W Ahern | Dermatology | Advanced Dermatologic Surgery P A | 1213 Hermann Dr, Suite 650, Houston, TX 77004-7012 |
| Andrew L Doe | Interventional Radiology | Vascular and Interventional Radiology of America | 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 |
| Alvin Raymond C Tan | Nephrology | Pulmonary and Internal Medicine Associates, L.l.p. | 1213 Hermann Dr, Suite 570, Houston, TX 77004-7025 |
| Mark A Price | Dermatology | Advanced Dermatologic Surgery P A | 1213 Hermann Dr, Suite 650, Houston, TX 77004-7012 |
| Concepcion R Diaz-arrastia | Obstetrics/gynecology | Elizabeth Bonefas, Md, Pa | 1213 Hermann Dr, Suite 675, Houston, TX 77004-7083 |
| Elizabeth T Bonefas | General Surgery | Elizabeth Bonefas, Md, Pa | 1213 Hermann Dr, Suite 675, Houston, TX 77004-7083 |
| Ralph Harry Hunter Jr. | Certified Registered Nurse Anesthetist (crna) | 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 | |
| Tam V Ho | Nephrology | 1213 Hermann Dr, Suite 260, Houston, TX 77004-7074 | |
| Brian E Tison | Allergy/immunology | Vital Allergy and Asthma Center | 1213 Hermann Dr, Suite 550, Houston, TX 77004-7089 |
| Lucious Randle Jr. | Ophthalmology | 1213 Hermann Dr, Suite 415, Houston, TX 77004-7010 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jae Lynn Graham | Physician Assistant | Elizabeth Knafo,md,pa | 1200 Binz, Suite 175, Houston, TX 77004 |
| Lubor J Jarolimek | Orthopedic Surgery | 2121 Oakdale, Houston, TX 77004 | |
| Courtney E Fischer-brown | Physician Assistant | Elizabeth Knafo,md,pa | 1200 Binz, Suite 175, Houston, TX 77004 |
| Carol Manning | Nurse Practitioner | Elizabeth Knafo,md,pa | 1200 Binz, Houston, TX 77004 |
| Georgine De Roth | Family Practice | Elizabeth Knafo,md,pa | 1200 Binz, Houston, TX 77004 |
| Maimalynne Johnson | Nurse Practitioner | Harris County Hospital District | 1603 Mcgowen, Houston, TX 77004-1146 |
| Emelike U Agomo | Ophthalmology | 2424 Hamilton St, Suite 210, Houston, TX 77004-1203 | |
| Marilyn J Foster | Clinical Social Worker | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Dahl A Rollins | Psychologist, Clinical | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Tyesha Alexander | Clinical Psychologist | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Find all physicians in zip 77004 | |||
| City | HOUSTON |
| Zip Code | 77004 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HOUSTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Shaletra L Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.