JORDAN M EDELEN PAC - NPI 1851764807 - Physician Assistant in Louisville, KY

Q: What is Jordan Edelen's NPI number?

The NPI number for Jordan Edelen is 1851764807. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Q: What is Jordan Edelen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Edelen was last updated on March 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jordan M Edelen Pac NPPES

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

JORDAN M EDELEN PAC (NPI 1851764807) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2072) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1851764807

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN M EDELENCredential: PAC

Location Address908 DUPONT RDLouisville, KY 40207-4602

Mailing Address100 E Liberty St, Suite 800Louisville, KY 40202-1434 · (502) 749-7909 · Fax (502) 749-9397

Phone(502) 749-7909

Fax(502) 749-9397

Sole ProprietorNo

Enumeration DateNovember 12, 2015

Last NPPES UpdateMarch 20, 20185 updates tracked since enumeration

✔ NPI 1851764807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · PA2072

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

908 DUPONT RD, Louisville, KY 40207

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Other Identifiers 1

Medicaid7100375380KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 14

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

FIRST STOP URGENT CARE DUPONT PSC

Family Medicine