Christine Jordan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35070301 Issued in OH

Practice address

40 W Erie St
Suite 203
Painesville, OH 44077-3274

Phone

(440) 350-0832

Fax

(440) 354-7420

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ohio Anesthesia Group, Inc

  • Anesthesiology Physician
  • Canton, OH
  • NPI 1639348113
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1336149251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W ERIE ST",
            "address_2": "SUITE 203",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773274",
            "telephone_number": "440-350-0832",
            "fax_number": "440-354-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W ERIE ST",
            "address_2": "SUITE 203",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773274",
            "telephone_number": "440-350-0832",
            "fax_number": "440-354-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35070301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Jenkins
• John H Paul M D Inc
• Joshua Kaled Johnson
• Shirley M Johnson, OTR/L
• Jennifer Johnston
• Jubilee Healthcare, LLC
• Clarissa S Kaczmarek, LMT
• Danielle Joaquina Kaczmarek, LMT
• Brian Jeffery Kane, OD
• Jessica Ann Kantola, PHARMD

• Anesthesiology Physician in Painesville, OH
• Providers in Painesville, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.