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JORDAN ADAM CONRAD PA-C
NPI 1942557178
Physician Assistant - Surgical in Tampa, FL

Active since August 07, 2012
12880 COMMODITY PL, TAMPA, FL 33626(813) 343-5500(866) 462-7445 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Adam Conrad Pa-c NPPES

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

JORDAN ADAM CONRAD PA-C (NPI 1942557178) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9107357) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1942557178
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJORDAN ADAM CONRADCredential: PA-C
Location Address12880 COMMODITY PLTampa, FL 33626-3101
Mailing AddressPo Box 21686Tampa, FL 33622-1686 · (813) 343-5500 · Fax (866) 462-7445
Phone(813) 343-5500
Fax(866) 462-7445
Sole ProprietorNo
Enumeration DateAugust 7, 2012
Last NPPES UpdateOctober 10, 2013
✔ NPI 1942557178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in FL · PA9107357✔ Licensed in CT · 002789
12880 COMMODITY PL, Tampa, FL 33626
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Other Providers at the Same Location NPPES 20

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

MR. ANTHONY BROMAGEN PA
Physician Assistant (Surgical)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
DR. GORDON W MCNEAL M.D.
Surgery
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
MARIA ANN DAMBECK CRNFA
Registered Nurse (Registered Nurse First Assistant)
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
ROBERT ENNES ALDRICH JR. PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL, C/O UNITED SURGICAL ASSISTANTS
TAMPA, FL 33626
Hillsborough County (877) 872-5788
JOSHUA R WILLIAMS PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626
Hillsborough County (877) 872-5788
ANTONIO MARTINO MILLS PA-C
Physician Assistant (Surgical)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
ANDREA LISA ENTIN RNFA
Registered Nurse (Registered Nurse First Assistant)
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (813) 343-5500
USA MEDICAL SERVICES PC
Surgery
12880 COMMODITY PL
TAMPA, FL 33626
Hillsborough County (877) 872-5788

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 Conrad's NPI number?

The NPI number for Jordan Conrad is 1942557178. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Jordan Conrad located?

Jordan Conrad practices at 12880 Commodity Pl, Tampa, FL 33626. The listed phone number is (813) 343-5500.

What is Jordan Conrad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jordan Conrad was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.