Jordan Ashbaugh, PA-C
Individual provider Active NPI Medical Physician Assistant · Newark, DE
NPI 1801622378 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1801622378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C5-0012162 (DE)
- Practice address
- 4755 Ogletown Stanton Rd FL 3
Newark, DE 19718-2200 - Phone
- (302) 733-3475
- Fax
- (302) 325-7056
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Hospital of Cecil County
Christiana Care Health Services Inc
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 623-7600
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 623-7600
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218000301 | DE | Practitioner - Physician Assistant | 3870020670 | Reassigns benefits to 1 organization |
| I20250131000948 | MD | Practitioner - Physician Assistant | 3870020670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012162 | DE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Union Hospital of Cecil County, Inc. | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Fl 3
Newark, DE 19718
Phone (302) 733-3475
4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
4000 Nexus Dr
Ste E3
Wilmington, DE 19803
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012162 | DE | |
| Medical Physician Assistant | 363AM0700X | C5-0012162 | DE | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd FL 3
Newark, DE 19718-2200
Mailing address
956 S Matlack St Apt 220
West Chester, PA 19382-7677
Phone (717) 881-0883
Other providers in Newark, DE
- Art of Therapy LLC
- Ashlie Artz
- Amelia J H Arundale
- Holly E Aschendorf
- Tymir Ash-Shaheed
- Alain S Asher
- Eunice Asibey
- Habib Asmaro
- Aspiring Change LLC
- Joseph Assali
All providers in Newark, DE · Medical Physician Assistant in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.