Jordan Samuel Dehaven is a Bristol, Rhode Island based male podiatrist with 17 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from New York College Of Podiatric Medicine in 2007. He is also affiliated with hospitals like Roger Williams Medical Center and The Miriam Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jordan Samuel Dehaven for Podiatric Foot & Ankle Surgery is DPM00328 in Rhode Island. Jordan Samuel Dehaven provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Jordan Samuel Dehaven speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
17+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1180 Hope St, Bristol, Rhode Island, 02809-1126
Phone:
401-253-8900
Fax:
401-253-3131
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
9739211400
Enrollment ID:
I20100715000327
NPI Number:
1750510988
NPI Enumeration Date:
09 Jul, 2009
NPI Last Update On:
27 Oct, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Samuel Dehaven are as mentioned below.
License Number
Specialization
State
Status
DPM00328
Podiatric Foot & Ankle Surgery
Rhode Island
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Roger Williams Medical Center (410004)
Providence, RI
Acute Care Hospital
The Miriam Hospital (410012)
Providence, RI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jordan Samuel Dehaven is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Medical Associates Of Ri, Inc. (3375432040)
36
Prospect Chartercare Rwmc, Llc (0547492696)
53
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Samuel Dehaven such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
JD81548
Medicaid
Rhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1180 Hope St, Bristol, Rhode Island
Zip:
02809-1126
Phone Number:
401-253-8900
Fax Number:
401-253-3131
Patients can reach Jordan Samuel Dehaven at 1180 Hope St, Bristol, Rhode Island or can call to book an appointment on 401-253-8900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.