MARY CHISHOLM JORDAN (NPI# 1467618694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467618694 |
| Entity Type | Individual |
| Full Name | MARY CHISHOLM JORDAN |
| Credential | D.O. |
| Practice Address |
44199 Dequindre Rd Suite 415 Troy MI 48085-1128 |
| Practice Telephone | 2489646061 |
| Practice Fax Number | 2489646054 |
| Mailing Telephone | 2489646061 |
| Mailing Fax Number | 2489646054 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101010084 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
| 1912212457 | Mary E Jordan | Counselor | 14 Clara Dr Ste 3, Mystic, CT 06355-1973 | 2010-08-09 |
| 1417126350 | Mary A Jordan | Social Worker | 4 Pell Place, Pelham, NY 10803-1310 | 2008-02-25 |
| 1104002070 | Mary Ann Jordan | Registered Nurse | 24 Picket Ln, Centereach, NY 11720-2511 | 2008-01-10 |
| 1538284773 | Mary Elizabeth Jordan | Nurse Practitioner | 1717 Columbia Rd Nw, Washington, DC 20009-2803 | 2007-03-20 |
| 1508911132 | Mary C Jordan | Licensed Vocational Nurse | 7053 Milwood Ave, Canoga Park, CA 91303-2159 | 2007-01-24 |
| 1356410294 | Mary Catherine Jordan | Nurse Practitioner | 5455 Meridian Mark Rd., Ste. 400, Atlanta, GA 30342 | 2006-11-07 |
| 1275615437 | Mary Jan Jordan | Counselor | 536 Fireside Court, Suite D, Lawrence, KS 66049-2300 | 2006-10-19 |
| 1215017025 | Mary Louise Jordan | Licensed Practical Nurse | 1927 W Meinecke Ave, Milwaukee, WI 53206-2063 | 2006-10-16 |
| Street Address |
44199 DEQUINDRE RD SUITE 415 |
| City | TROY |
| State | MI |
| Zip Code | 48085-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631184 | Ceres A Guzman-morales | Pediatrics | 44199 Dequindre Rd, Suite 222, Troy, MI 48085-1128 | 2005-07-07 |
| 1184274573 | Kristina Brown | Nurse Practitioner | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2019-09-17 |
| 1306320726 | Dominic B Filippis | Physician Assistant | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2018-09-21 |
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| 1386072122 | Shelley Sue Binkley Md Pllc | Clinic/Center | 44199 Dequindre Rd, Suite 412, Troy, MI 48085-1128 | 2013-10-14 |
| 1255770186 | Rebecka May Olds | Nurse Practitioner | 44199 Dequindre Rd, Ste. 311, Troy, MI 48085-1128 | 2013-06-25 |
| 1598060428 | Timothy P. Baessler, Dpm, PC | Podiatrist | 44199 Dequindre Rd, Suite 112, Troy, MI 48085-1128 | 2011-01-25 |
| 1346551074 | Comprehensive Breast Care Pllc | Surgery | 44199 Dequindre Rd, Suite 609, Troy, MI 48085-1128 | 2010-06-28 |
| 1043549165 | Josephine Iskander, Md Pllc | Medicare Defined Swing Bed Unit | 44199 Dequindre Rd, Ste 304, Troy, MI 48085-1128 | 2009-12-19 |
| 1134386352 | Hossam Eldeen Abdeen Mohamed Hassan | Pediatrics | 44199 Dequindre Rd, 615, Troy, MI 48085-1128 | 2008-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437266 | Obstetrics and Gynecology South, Inc | Obstetrics & Gynecology | 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 | 2019-09-26 |
| 1740693514 | Thomas P Cacciola | Obstetrics & Gynecology | 101 Jordan Rd Ste 200, Troy, NY 12180-8337 | 2014-06-09 |
| 1063724813 | Joelle Aoun Abood | Obstetrics & Gynecology | 2825 Livernois Road, Henry Ford Medical Center - Women's Health, Troy, MI 48083 | 2010-07-09 |
| 1174840185 | Michael Tsimis | Obstetrics & Gynecology | 3979 Mark Dr, Troy, MI 48083-5333 | 2010-04-29 |
| 1609199421 | Troy Health Services LLC | Obstetrics & Gynecology | 199 Scouting Circle, Troy, AL 36081 | 2010-03-08 |
| 1104075548 | David Marshall | Obstetrics & Gynecology | 66 Pointview Drive, Troy, NY 12180 | 2008-09-10 |
| 1336347210 | Rati Chadha | Obstetrics & Gynecology | 2783 Somerset Blvd Apt 207, Troy, MI 48084-4012 | 2007-07-03 |
| 1336219484 | Daniel John Dilworth | Obstetrics & Gynecology | 3130 N Dixie Highway, Suite 203, Troy, OH 45373 | 2006-11-08 |
| 1568544278 | Beth Ann Rasmussen | Obstetrics & Gynecology | 25 Prospect Cir, Troy, MO 63379-3173 | 2006-10-20 |
| 1861598260 | Rosalindo Tipon Cortez | Obstetrics & Gynecology | 61 Stanfield Rd, Gyne Associates Inc, Troy, OH 45373-2307 | 2006-09-15 |
| Find all providers in TROY | ||||
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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.