JORDAN KNOX NPI 1710368253

NPI Information

NPI: 1710368253
Provider Name: JORDAN KNOX
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION

PECOS Registration: Yes

Address:
820 N CHELAN AVE
WENATCHEE, WA
ZIP 98801
Phone: (509) 663-8711
Get Directions

Jordan Knox is a surgical physician assistant in Wenatchee, WA with 9 years of experience. Jordan Knox NPI is 1710368253. 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:

820 N CHELAN AVE
WENATCHEE, WA
ZIP 98801-028
Phone: (509) 663-8711

The NPI 1710368253 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 6/10/2015 and was last updated on 1/8/2020.

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
1	363AS0400X	Physician Assistant	Surgical	PA60560423	WASHINGTON	Yes

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
1	P01624723	OTHER	WASHINGTON	RR PTAN WVH
2	1710368253	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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