Jordan Andrew Nasenbeny, MD, MSC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

390200000X Issued in IL

Practice address

900 Main St Ste 720
Peoria, IL 61602-5027

Phone

(309) 671-3000

NPI assigned

Mar 31, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1861197725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE MADISON AVE APT G",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616035805",
            "telephone_number": "847-310-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 720",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025027",
            "telephone_number": "309-671-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASENBENY",
        "first_name": "JORDAN",
        "middle_name": "ANDREW",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Nance, CRNA
• Pooja Vishal Nangrani, MD
• Lisa Nannie, FNP
• Syeda Naqvi, MD
• Jailson S Nascimento, APRN, CNS
• Karim Nasra, MD
• Natalie Heinz Counseling PLLC
• David H Nathan, M.D.
• Melissa Aguilar Nathan, DO
• Norman Nathan, MD

• Student in an Organized Health Care Education/Training Program in Peoria, IL
• Providers in Peoria, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.