JORDAN ADAM CONRAD PA-C NPI 1942557178

NPI Information

NPI: 1942557178
Provider Name: JORDAN ADAM CONRAD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
12880 COMMODITY PL
TAMPA, FL
ZIP 33626
Phone: (813) 343-5500
Get Directions

Jordan Adam Conrad, PA-C is a surgical physician assistant in Tampa, FL. Jordan Adam Conrad, PA-C NPI is 1942557178. 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:

12880 COMMODITY PL
TAMPA, FL
ZIP 33626-101
Phone: (813) 343-5500
Fax: (866) 462-7445

The enumeration date for this NPI number is 8/7/2012 and was last updated on 10/10/2013.

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
1	363AS0400X	Physician Assistant	Surgical	002789	CONNECTICUT	No
2	363AS0400X	Physician Assistant	Surgical	PA9107357	FLORIDA	Yes

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

NPI Synchronization or Removal

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