Mr Jay Daniel Jordan, CRNA | |
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
(704) 210-5661 | |
(704) 210-5660 |
Full Name | Mr Jay Daniel Jordan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 612 Mocksville Ave, Salisbury, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457383606 | NPI | - | NPPES |
430044434 | Other | NC | RR MEDICARE |
8051110 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 47466 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Novant Health Medical Park Hospital | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Park Hospital Llc | 4880595958 | 72 |
Forsyth Memorial Hospital Inc | 9537071790 | 516 |
Entity Name | Novant Health Thomasville Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
Entity Name | Carolina Anesthesia Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
Entity Name | Medical Park Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
Entity Name | The Presbyterian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Novant Health Rowan Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
Entity Name | Piedmont Triad Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312 |
Entity Name | Novant Health Matthews Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
Entity Name | Carolina Regional Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
Entity Name | Novant Health Mint Hill Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
Mailing Address | Practice Location Address |
---|---|
Mr Jay Daniel Jordan, CRNA 4605 Meeting House Ln, Clemmons, NC 27012-7706 Ph: (336) 778-1879 | Mr Jay Daniel Jordan, CRNA 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5661 |
Mr. Edward Blaine Bostian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-6965 | |
Mrs. Kimberly Jo Alexander, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Mrs. Beaulisa Dawn Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 | |
Mrs. Patricia Floyd Burke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Clement Joseph Markarian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-7000 | |
Mrs. Nancy Marinette Rierson, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000 | |
Ms. Susan Lynn Kutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 |