Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Cynthia Jordan, PA-C

Individual provider Physician Assistant · NPI 1720528714

MS. Cynthia Jordan, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2016, 10 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1989 Miamisburg Centerville Rd Ste 201
Dayton, OH 45459-3858
Phone: (937) 401-7575
Fax: (937) 522-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.005021RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50.005021RX (OH)

Record details

NPI number1720528714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2017
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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