DAMON M JORDAN PA-C NPI 1033109707

NPI Information

  • NPI: 1033109707
  • Provider Name: DAMON M JORDAN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 49 SPRING ST
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 885-0011

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NPI Details

Damon M Jordan, PA-C is a surgical physician assistant in Scarborough, ME with 30 years of experience. Damon M Jordan, PA-C NPI is 1033109707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

49 SPRING ST
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-0011
Fax: (207) 885-5851

The NPI 1033109707 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 enumeration date for this NPI number is 10/25/2005 and was last updated on 1/24/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA458MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01116195MEDICARE PINMAINE
2AP067701MEDICARE PIN
3S08017MEDICARE UPINMAINE
4AP067705MEDICARE PINMAINE

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: 3/30/2025

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