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DAMON M JORDAN PA-C NPI 1033109707


NPI Information

NPI: 1033109707
Provider Name: DAMON M JORDAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CENTRAL MAINE MEDICAL CENTER

PECOS Registration: Yes

Address:
49 SPRING ST
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-0011
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Damon M Jordan, PA-C is a surgical physician assistant in Scarborough, ME with 29 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: DREXEL 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 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.

  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

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.