DR. RAYMOND F JORDAN


Address: 12295 Hwy. 64 E, Tyler, TX 75707
Phone: 9035905171

DR. RAYMOND F JORDAN (NPI# 1104851096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104851096
Entity Type Individual
Full Name DR. RAYMOND F JORDAN
Credential DO
Practice Address 12295 Hwy. 64 E
Tyler
TX 75707
Mailing Address 901 Turtle Creek Dr
Tyler
TX 75701-1947
Practice Telephone 9035905171
Practice Fax Number 9035905179
Mailing Telephone 9035963588
Mailing Fax Number 9035942038
Enumeration Date 2006-07-11
Last Update Date 2010-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine J0842 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 12295 HWY. 64 E
City TYLER
State TX
Zip Code 75707

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063916351 Veronica Miller Registered Nurse 3928 Mobley Lane, Tyler, TX 75707 2018-03-21
1023548187 Juan Fernando Melgoza Jr. Specialist/Technologist 13172 Tx-64, Tyler, TX 75707 2017-06-12
1396291969 The Center At Grande, LLC Skilled Nursing Facility 3219 East Grande Blvd, Tyler, TX 75707 2016-09-01
1730432493 Michelle Tucker Clinic/Center 5011 Troup Hwy Ste 100, Tyler, TX 75707 2012-10-18
1275724569 Johnson Chiropractic Center Chiropractor 5400 University Blvd, 103, Tyler, TN 75707 2007-08-05
1033514096 David Comins Wheeler Counselor 5875 Grace Ave, Tyler, TX 75707-0006 2014-11-01
1497318968 Haley Lynn Dominy Licensed Vocational Nurse 6028 Grace Ave, Tyler, TX 75707-0007 2019-04-19
1710947957 Doug Hodde Family Medicine 3593 E Grande Blvd, Tyler, TX 75707-1400 2006-03-23
1851839120 Trinity Clinic Clinic/Center 3593 E Grande Blvd, Tyler, TX 75707-1400 2017-02-07
1073907069 Andrew O'kelley Family Medicine 3593 E Grande Blvd, Tyler, TX 75707-1400 2015-03-27
Find all providers in zip 75707

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922632553 Christina Kay Baker Family Medicine 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 2020-02-21
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1396389870 Shelly Lynn Williams Family Medicine 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 2019-10-29
1891354494 Beverly Diann Butler Family Medicine 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 2019-06-07
1851846018 Thomas Mason Worthington Jr. Family Medicine 9141 Chisholm Trl, Tyler, TX 75703-0409 2016-08-17
1881069557 The Bradley Clinic of Texas, Pllc Family Medicine 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 2015-12-07
1750764189 Diabetic Renewal Center LLC Family Medicine 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 2015-07-02
1013306273 Pure Radiance Laser Retreat Family Medicine 6722 S Broadway Ave, Tyler, TX 75703-4730 2015-01-12
1023412988 James Kent Gray Family Medicine 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 2014-10-21
1346640182 Morris Mht LLC Family Medicine 2030 Stonegate Blvd, Tyler, TX 75703-0103 2014-08-29
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Competitor

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City TYLER
Zip Code 75707

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Dataset Information

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.

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