Jordan Carlton Schramm, MD

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

9712365-1205 Issued in UT

Practice address

1055 N 300 W Ste 401
Provo, UT 84604-3306

Phone

(801) 357-7499

Fax

(801) 373-5980

NPI assigned

Jul 9, 2010

Sex

Male

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Peak ENT Associates

  • Otolaryngology/Facial Plastic Surgery Physician
  • Provo, UT
  • NPI 1346489036
  Medicare reassignment NPD
• Ogden Audiology Services LLC

  • Audiologist
  • Ogden, UT
  • NPI 1811040140
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1588976328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043306",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043306",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "JORDAN",
        "middle_name": "CARLTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "9712365-1205",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "UT",
            "license": "9712365-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Schoendorfer
• Donna L Schofield, CD
• Suzanne Scholes
• Michelle Schooley, MS
• Douglas Schow Jr., M.D.
• Sarah Schrimsher
• Brooke Schroeder
• Keriann Marie Schulkers Escalante, DO
• Madison Renee Schult
• Christine Schultz

• Pediatric Otolaryngology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Pediatric Otolaryngology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.

Verify at the official NPI Registry.