Individual provider Active NPI

Jordan Donges, PA-C

  • Physician Assistant
  • Alliance, OH
National Provider Identifier
1013622331
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008318RX Issued in OH
Practice address
1900 S Union Ave Unit 100
Alliance, OH 44601-4355
Phone
(330) 596-6500
NPI assigned
Jan 20, 2023
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008318RX OH Primary

Addresses

Primary practice location

1900 S Union Ave Unit 100
Alliance, OH 44601-4355

Mailing address

1900 S Union Ave Unit 100
Alliance, OH 44601-4355

Other names 1

  • Jordan Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926004343 OH Practitioner - Physician Assistant 9830543743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Canton, OH 44708-4699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
58.08
Promoting interoperability
100
Improvement activities
40
Cost
76.25

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.008318RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation CurrentSince Jun 17, 2024 Accepting new patients
Youngstown Orthopaedic Associates LTD PastSince Dec 1, 2023 Accepting new patients

Locations

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

Interoperability endpoints

  • Direct secure messaging: jordan.donges@direct.aultman.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1013622331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S UNION AVE UNIT 100",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S UNION AVE UNIT 100",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014355",
            "telephone_number": "330-596-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGES",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008318RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.