JEFFREY PAUL JORDAN (NPI# 1023125556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023125556 |
| Entity Type | Individual |
| Full Name | JEFFREY PAUL JORDAN |
| Credential | MD |
| Practice Address |
21 W Columbia St # Mp160 Orlando FL 32806-1133 |
| Mailing Address |
131 S Citrus Ave Ste 203 Inverness FL 34452-4701 |
| Practice Telephone | 3218416600 |
| Practice Fax Number | 3218414085 |
| Mailing Telephone | 3523344269 |
| Mailing Fax Number | 3523444955 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME111556 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 34979 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BJ3899513 | 01 | |
| WI | 32018300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154743904 | Jeffrey Jerome Jordan | Pharmacist | Rt 940 Mt Pocono Plaza, Weis Pharmacy, Mt. Pocono, PA 18344 | 2014-01-14 |
| 1578784195 | Jeffrey Neil Jordan | Clinic/Center | 1600 Hospital Avenue, Franklin, LA 70538 | 2007-05-01 |
| 1093939654 | Jeffrey Lamont Jordan | Dentist | 5963 Calais Court, 6008 East 46th St., Indianapolis, IN 46220 | 2007-04-12 |
| 1588638092 | Jeffrey Lawrence Jordan | Optometrist | 815 E Commerce St, Lewisburg, TN 37091-3515 | 2006-02-14 |
| 1235532474 | Jeffrey Jordan | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2014-10-02 |
| 1770890055 | Jeffrey Paul Jordan | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2010-09-08 |
| 1558504738 | Jeffrey Michael Jordan | Surgery | 462 Grider St, Dk Miller Bldg., Buffalo, NY 14215-3021 | 2009-04-17 |
| 1124284534 | Jeffrey W Jordan | Dentist | 4205 N Point Pkwy, Bldg B, Alpharetta, GA 30022-8808 | 2008-08-05 |
| 1285746651 | Jeffrey Jordan | Dentist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2006-08-31 |
| 1588684104 | Jeffrey Scott Jordan | Family Medicine | 128 Raymond Hirsch Pkwy, White House, TN 37188-8193 | 2006-07-19 |
| Street Address |
21 W COLUMBIA ST # MP160 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531126 | Clement Clinic Pa | Internal Medicine | 1317 Edgewater Dr # 2468, Orlando, FL 32804-6350 | 2020-09-08 |
| 1104475466 | Io Medical, Pllc | Internal Medicine | 11954 Narcoossee Rd Ste 2-108, Orlando, FL 32832-6998 | 2019-09-10 |
| 1487211769 | Premier Healthcare Solutions LLC | Internal Medicine | 8958 Conroy Windermere Rd, Orlando, FL 32835-3128 | 2019-05-22 |
| 1730646787 | Magic Medical Group Inc. | Internal Medicine | 9421 S Orange Blossom Trl Ste 19, Orlando, FL 32837-8320 | 2019-02-26 |
| 1902361629 | Jeff Valsin | Internal Medicine | 453 N Kirkman Rd Ste 203453, Orlando, FL 32811-1109 | 2019-02-06 |
| 1427525963 | Colmedical Care | Internal Medicine | 7824 Lake Underhill Rd Ste A, Orlando, FL 32822-8201 | 2018-11-01 |
| 1629568159 | Fortis Medical Group, LLC | Internal Medicine | 1803 Park Center Dr Ste 103, Orlando, FL 32835-6216 | 2018-05-10 |
| 1629570262 | Rolon Medical Pllc | Internal Medicine | 7680 Lower Gateway Loop Unit 518, Orlando, FL 32827-7195 | 2018-02-28 |
| 1275068975 | Donald Mark Demke | Internal Medicine | 11579 Acosta Ave, Orlando, FL 32836-8880 | 2017-05-01 |
| 1932649829 | Veronica E Scholer Caldentey Sr. | Internal Medicine | 11958 Inagua Dr, Orlando, FL 32827-7136 | 2017-02-27 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.