Active NPI
Jordan A Isaac, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
National Provider Identifier
1104234699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 164013
- Practice address
- 1755 Kirby Pkwy Ste 330
Memphis, TN 38120-4398 - Phone
- (901) 725-5846
- Fax
- (901) 726-4827
- NPI assigned
- Jul 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 164013 | TN | Primary |
Addresses
Primary practice location
1755 Kirby Pkwy Ste 330
Memphis, TN 38120-4398
Mailing address
PO Box 171306
Memphis, TN 38187-1306
Phone (800) 809-2106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
Hospital & facility affiliations
- Methodist Hospitals of Memphis
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901622 | MS | MD | Family Nurse Practitioner |
| 164013 | TN | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1104234699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171306",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381871306",
"telephone_number": "800-809-2106",
"fax_number": "334-386-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 KIRBY PKWY STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204398",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAC",
"first_name": "JORDAN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "164013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.