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JORDAN PAUGH DO
NPI 1245027093
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since April 24, 2025PECOS Enrolled
30117 SCHOENHERR RD STE 400, WARREN, MI 48088(586) 738-9470(586) 738-9469 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Paugh Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN PAUGH DO (NPI 1245027093) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245027093
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN PAUGHCredential: DO
Location Address30117 SCHOENHERR RD STE 400Warren, MI 48088-6854
Mailing Address30117 Schoenherr RdWarren, MI 48088-6854
Phone(586) 738-9470
Fax(586) 738-9469
Sole ProprietorYes
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1245027093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30117 SCHOENHERR RD STE 400, Warren, MI 48088
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Paugh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH ANTONY DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
DR. ALEXANDRA SCHULTE DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
PARKER JAMES BOMAR DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
DANIELLE OKELBERRY
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
MR. GRANT CONNOR GOODFELLOW D.O.
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
SERENA PATEL DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
NATALIE KATHLEEN CHAMPAGNE DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (586) 738-9470
DR. RACHELLE SRINIVAS DO
Student in an Organized Health Care Education/Training Program
30117 SCHOENHERR RD STE 400
WARREN, MI 48088
Macomb County (248) 395-6487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Paugh's NPI number?

The NPI number for Jordan Paugh is 1245027093. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Jordan Paugh located?

Jordan Paugh practices at 30117 Schoenherr Rd Ste 400, Warren, MI 48088. The listed phone number is (586) 738-9470.

What is Jordan Paugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Paugh enrolled in Medicare?

Yes. Jordan Paugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Paugh was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.