Jordan Oak Surgery Assist, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JORDAN OAK SURGERY ASSIST, PLLC

Practice address

10004 Wurzbach Rd # 241
San Antonio, TX 78230-2214

Phone

(210) 714-7165

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Silva

Title

Pams Npi Administrator

Phone

(210) 598-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1215416300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 WURZBACH RD # 241",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302214",
            "telephone_number": "210-714-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 WURZBACH RD # 241",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302214",
            "telephone_number": "210-714-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN OAK SURGERY ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Jonietz, PHD
• Catherine Joo, OD
• Michelle Heeryung Joo, OD
• Deepthi Joolukuntla
• Jessica Joplin, SLP
• Jordan River Inc
• Victoria Rosetta Jordan Spicer, LPC
• Judy Sharon Jordan Thomas, MD
• Ashanti Jordan
• Ashley Danielle Jordan

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.