Jordan Oddis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006652RX Issued in OH

Practice address

7590 Auburn Rd
Concord TWP, OH 44077-9176

Phone

(440) 375-8100

NPI assigned

Oct 9, 2020

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as apm

Quality

82.31

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.04 of 100Reported as group

Quality

85.63

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joddis28454@ehrdirect.uhhospitals.org

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.

• New Manna CLG, LLC

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1972149268

  Physician Assistant

  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Surgery

  Medicare reassignment NPD
• Emergency Medicine Physicians of Lake County LTD

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1154763944
  Medicare reassignment
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment
• Ues Geauga, LLC

  • Emergency Medicine Physician
  • Chardon, OH
  • NPI 1841242997
  Medicare reassignment
• Ues Geneva LLC

  • Emergency Medicine Physician
  • Geneva, OH
  • NPI 1689919029
  Medicare reassignment
• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• Lake Hospital System, Inc.

  • Family Medicine Physician
  • Concord Township, OH
  • NPI 1316198724
  NPD
• University Primary Care Practices Inc

  dba Uhmp

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1396343695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 CHURCH ST",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946205",
            "telephone_number": "440-477-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-375-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDIS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006652RX",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "50.006652RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Warren Nelson, D.O.
• William David Nelson Sr., DDS
• Melissa Noeyack, LPN
• Northern Ohio Medical Specialists, LLC
• Katherine M Novotny, NP-C
• Ohio Permanente Medical Group (Kaiser Permanente)
• Jacqueline Owens, RN
• Stanley Carter Pace, MD
• Paul F Vanek Jr M D Inc
• Sonja Elaine Peckham, CNP

• Physician Assistant in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.

Verify at the official NPI Registry.