Jordan D Carr, PA-C
Physician Assistant in West Pawlet, Vermont
1114400611- Practice location
- 278 Vt 149, West Pawlet, VT 05775-9798
- Phone
- 802-645-0580
- Fax
- —
- Last updated
- September 11, 2018
Jordan David Carr is a Physician Assistant based in West Pawlet, VT. Jordan David Carr practices in West Pawlet, VT and has the professional credentials of PA-C. The NPI Number for Jordan David Carr is 1114400611 and holds a License No. 055.0031401 (VT). The current practice location address for Jordan David Carr is 278 Vt 149, West Pawlet, VT 05775-9798 and can be reached out via phone at 802-645-0580.
Provider Profile Details
- NPI Number
- 1114400611
- Provider Name
- Jordan David Carr
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 278 Vt 149, West Pawlet, VT 05775-9798
- Phone Number
- 802-645-0580
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 11, 2018
- Last Update Date
- September 11, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 278 Vt 149
West Pawlet, VT 05775-9798 - City
- West Pawlet
- State
- Vermont
- Zip
- 05775-9798
- Phone Number
- 802-645-0580
Provider Business Mailing Address Details
- Address
- 183 Fitzgerald RD
Middletown Springs, VT 05757-4119 - City
- Middletown Springs
- State
- VT
- Zip
- 05757-4119
- Phone Number
- 802-558-7466
License Information
- License Number
- 055.0031401
- License State
- VT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordan D Carr, PA-C?
The NPI number of Jordan D Carr, PA-C is 1114400611. It was assigned on September 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Jordan D Carr, PA-C?
Jordan D Carr, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031401.
Where does Jordan D Carr, PA-C practice?
The practice location is 278 Vt 149, West Pawlet, VT 05775-9798. The office can be reached at 802-645-0580 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114400611 directly on the NPPES registry website.