Individual provider Active NPI

Dana L. Jordan, P.A.

  • Physician Assistant
  • El Dorado, KS
National Provider Identifier
1578566311
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500601 Issued in KS
Practice address
425 Hunton Rd
El Dorado, KS 67042-3015
Phone
(316) 305-3379
NPI assigned
May 24, 2005
Last updated
May 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100340580CMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000781 KS Practitioner - Physician Assistant 2466437272 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
601KSMDAddiction (Substance Use Disorder) Counselor
1500601KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Hospital District No 1 Marion Co CurrentSince Aug 1, 2021 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Greenwood County Hospital CurrentSince Jun 30, 2015 Accepting new patients
Greenwood County Hospital CurrentSince Jun 30, 2015 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.

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

Verify at the official NPI Registry.