Cameo Jordan, SA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

20-513 Issued in OR

Practice address

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859

Phone

(541) 472-0603

Fax

(541) 472-0609

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1447849328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD STE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-779-6250",
            "fax_number": "546-608-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275859",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAMEO",
        "credential": "SA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "OR",
            "license": "20-513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloey Lynsie Jones, DMD
• Lauren Jones, RN
• Mark Anthony Jones, MD
• Rick Jones, CADCII, NCACII
• Tobi Kay Jones
• Paige L Jordan
• Marilane Jessica Jorgenson
• Josephine County
• Josephine County Community Corrections
• Josephine County Finance Department (Josephine County Juvenile Justice)

• Surgical Assistant in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Surgical Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.