Active NPI
Dana L. Jordan, P.A.
- Physician Assistant
- El Dorado, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500601
- Practice address
- 425 Hunton Rd
El Dorado, KS 67042-3015 - Phone
- (316) 305-3379
- NPI assigned
- May 24, 2005
- Last updated
- May 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500601 | KS | Primary |
Addresses
Primary practice location
425 Hunton Rd
El Dorado, KS 67042-3015
Mailing address
425 Hunton Rd
El Dorado, KS 67042-3015
Phone (316) 305-3379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340580C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 601 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 1500601 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Inc | Current | Accepting new patients | |
| Hospital District No 1 Marion Co | Current | Accepting new patients | |
| Lindsborg Community Rural Health Clinic Inc | Current | Accepting new patients | |
| Greenwood County Hospital | Current | Accepting new patients | |
| Greenwood County Hospital | Current | Accepting new patients | |
| Olathe Health Physicians, Inc. | Past | Accepting new patients | |
| Emergency Services, PA | Past | Accepting new patients | |
| Hays Medical Center, Inc. | Past | Accepting new patients |
Locations
100 W 16th St
Eureka, KS 67045
Phone (620) 583-5274
535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033
Organizations & group practices 8
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.
-
dba St Luke Hospital and Living Center
- Critical Access Hospital
- Marion, KS
- NPI 1144355793
-
- Rural Acute Care Hospital
- Moundridge, KS
- NPI 1083628911
-
dba Greenwood Medical Equipment
- Critical Access Hospital
- Eureka, KS
- NPI 1750687216
-
dba Lindsborg Rural Health Clinic
- Rural Health Clinic/Center
- Lindsborg, KS
- NPI 1427081041
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
-
dba Hays Medical Group
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
-
dba Olathe Health Care Express
- Family Medicine Physician
- Gardner, KS
- NPI 1558879320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1578566311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 HUNTON RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670423015",
"telephone_number": "316-305-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HUNTON RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670423015",
"telephone_number": "316-305-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DANA",
"middle_name": "L.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100340580C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.