| Jorden Rose Smith, PA-C | |
|
8402 Harcourt Rd Ste 100, Indianapolis, IN 46260-2006 | |
| (317) 338-7674 | |
| Not Available |
| Full Name | Jorden Rose Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 8402 Harcourt Rd Ste 100, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952074288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003302A (Indiana) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 10003302A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | St Vincent Pediatric Subspecialties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorden Rose Smith, PA-C 8402 Harcourt Rd Ste 100, Indianapolis, IN 46260-2006 Ph: Not Available | Jorden Rose Smith, PA-C 8402 Harcourt Rd Ste 100, Indianapolis, IN 46260-2006 Ph: (317) 338-7674 |
James Braden Millward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Mpc2#330, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 |
Cortnie N Yoder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Kaitlin Eileen Ziedonis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5330 E Stop 11 Rd, Indianapolis, IN 46237 Phone: 317-893-1900 Fax: 317-893-1901 |
Olivia Cecile Cabanban, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7525 E 82nd St Ste A, Indianapolis, IN 46256 Phone: 317-621-1670 |
Rachel Hayden, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8038 Claridge Rd, Indianapolis, IN 46260 Phone: 317-518-8562 |
Amber Seaman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-2345 |
Allyson Nugent, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1050 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-274-7447 |