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MR. JORDAN WESLEY TINNELL PA-C NPI 1629522925


NPI Information

NPI: 1629522925
Provider Name: MR. JORDAN WESLEY TINNELL, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4130 DUTCHMANS LN
STE. 300
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-1794
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MR. Jordan Wesley Tinnell, PA-C is a physician assistant in Louisville, KY with 8 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Jordan Wesley Tinnell, PA-C NPI is 1629522925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4130 DUTCHMANS LN
STE. 300
LOUISVILLE, KY
ZIP 40207-713
Phone: (502) 897-1794
Fax: (502) 238-1286

The NPI 1629522925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 8/4/2016 and was last updated on 12/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant99077113AINDIANANo
2363A00000XPhysician AssistantTC492KENTUCKYNo
3363A00000XPhysician Assistant10002178AINDIANANo
4363AM0700XPhysician AssistantMedical99077113AINDIANANo
5363AM0700XPhysician AssistantMedicalTC492KENTUCKYNo
6363AM0700XPhysician AssistantMedicalPA2174KENTUCKYNo
7363AM0700XPhysician AssistantMedical10002178AINDIANANo
8363AS0400XPhysician AssistantSurgicalPA2174KENTUCKYNo
9363AS0400XPhysician AssistantSurgical99077113AINDIANANo
10363AS0400XPhysician AssistantSurgicalTC492KENTUCKYNo
11363AS0400XPhysician AssistantSurgical10002178AINDIANANo
12363A00000XPhysician AssistantPA2174KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100415730MEDICAIDKENTUCKY
2300008427MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.