Active NPI
Damon M Jordan, PA-C
- Physician Assistant
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 130316
- Practice address
- 701 W Forevergreen Rd
North Liberty, IA 52317-9848 - Phone
- (319) 356-2223
- Fax
- (319) 353-6745
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 130316 | IA | |
| Surgical Physician Assistant | 363AS0400X | PA458 | ME | |
| Physician Assistant | 363A00000X | 130316 | IA | Primary |
Addresses
Primary practice location
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Mailing address
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-2223
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CT, NY, OK, IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Hahnemann University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
701 W Forevergreen Rd
Univ of Ia Health Care Med Ctr N Liberty
North Liberty, IA 52317-9848
Phone (319) 485-0550
Hospital & facility affiliations
- Aspirus Medford Hospital & Clinics, Inc
- University of Iowa Hospital & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130316 | IA | MD | Physician Assistant |
| PA458 | ME | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Past | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients | |
| St. Mary'S Regional Medical Center | Past | Accepting new patients |
Locations
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223
29980 Network Pl
Chicago, IL 60673
690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
10 High St
Ste 204
Lewiston, ME 04240
Phone (207) 753-3900
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
99 Campus Ave
Ste 303
Lewiston, ME 04240
Phone (207) 777-4460
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
Interoperability endpoints
- djordan17608@direct.mmc.mainehealth.org
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
- Rehabilitation Clinic/Center
- Medford, WI
- NPI 1104922814
Hospital
-
- Rehabilitation Hospital Unit
- Prentice, WI
- NPI 1154468205
-
- Rural Health Clinic/Center
- Rib Lake, WI
- NPI 1265502173
Hospital
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
Hospital
-
- Rural Health Clinic/Center
- Medford, WI
- NPI 1427140649
Hospital
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
Hospital
-
- Rural Health Clinic/Center
- Athens, WI
- NPI 1760912919
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1033109707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W FOREVERGREEN RD",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179848",
"telephone_number": "319-356-2223",
"fax_number": "319-353-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W FOREVERGREEN RD",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179848",
"telephone_number": "319-356-2223",
"fax_number": "319-353-6745"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2223",
"fax_number": "319-353-6754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "DAMON",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "130316",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ME",
"license": "PA458",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "130316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.