Jordan Avery Barzilla, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11511 Issued in TX

Practice address

902 Frostwood Dr Ste 269
Houston, TX 77024-2388

Phone

(713) 465-0696

Fax

(713) 465-7334

NPI assigned

Nov 1, 2017

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larry L. Likover MD PA

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1396882692
  NPD
• Larry L. Likover MD PA

  • Specialist
  • Houston, TX
  • NPI 1457711186
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1811409725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 269",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242388",
            "telephone_number": "713-465-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 269",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242388",
            "telephone_number": "713-465-0696",
            "fax_number": "713-465-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Studemont St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770073803",
            "country_code": "US",
            "telephone_number": "713-465-0696",
            "fax_number": "713-465-7334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARZILLA",
        "first_name": "JORDAN",
        "middle_name": "AVERY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bartsoff, M.D.
• Baruch Integrated Healthcare Services LLC
• Erez Nissim Baruch, MD, PHD
• Margo Adele Barvin, CRNA
• Jerika Dawnn Barzar
• Merle Barziza, LMT
• Ma.Charito Del Rosario Basa, OTR
• Cynthia Carpio Basaldua, MD
• Margaret Basarab, RPH
• Edwin Herbert Basden II, M.D.

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.