DR. ROBERT CHARLES JORDAN (NPI# 1558367433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558367433 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CHARLES JORDAN |
| Credential | M.D., F.A.A.O.A. |
| Practice Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
| Practice Telephone | 8437667103 |
| Practice Fax Number | 8438738732 |
| Mailing Telephone | 8437667103 |
| Mailing Fax Number | 8438738732 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 10476 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 104764 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461393 | Robert Lance Jordan | Contractor | 8485 Mizner Cir E, Jacksonville, FL 32217-4326 | 2019-01-30 |
| 1689912891 | Robert Christopher Jordan | Veterinarian | 73-4730 Old Mamalahoa Hwy, Kailua Kona, HI 96740-8636 | 2013-01-22 |
| 1700036829 | Robert Paul Jordan | Optometrist | 1009 S Washington St, North Attleboro, MA 02760-3619 | 2008-09-25 |
| 1144357674 | Robert J Jordan | Dentist | 2501 South Lakeline Boulevard, Cedar Park, TX 78613 | 2007-02-28 |
| 1487725727 | Robert Dalson Jordan | Dentist | 109 S Northshore Dr, Suite 404, Knoxville, TN 37919-4939 | 2006-11-10 |
| 1265501126 | Robert B Jordan | Optometrist | 622 E Reelfoot Ave, Union City, TN 38261-5739 | 2006-11-07 |
| 1336235027 | Robert Y. Jordan | Specialist | 66 Cclaremont Ave L.l., Kalispell, MT 59901 | 2006-10-04 |
| 1477561447 | Robert John Jordan | Massage Therapist | 6810 Tilden Ln, Rockville, MD 20852-4501 | 2006-08-04 |
| 1316966419 | Robert Scott Jordan | Social Worker | 2732 Ann Elizabeth Dr, Burlington, NC 27215-6650 | 2006-07-19 |
| 1316988900 | Robert Bruce Jordan | Radiology | 253 Wilderness Dr, Boyce, LA 71409-8618 | 2006-06-08 |
| Street Address |
2295 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824309 | Sophie J Ludwig | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-11-06 |
| 1861966830 | Savannah Hutto Lawley | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-01-14 |
| 1306318910 | Taylor Christine Hasbrouck | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-12-20 |
| 1013493352 | Alexandra Marie Rama | Nurse Practitioner | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-07-18 |
| 1114412426 | Kimberly Sawyer | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-28 |
| 1982198818 | Audrey Elizabeth Rinker | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-14 |
| 1326561820 | Alexandra L Cavitt | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-07-18 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1114472321 | Sarah Bartlett | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2016-08-17 |
| 1376994244 | Christina Phillips | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1417956780 | Frederick Thomas Sporck | Otolaryngology | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2005-07-19 |
| 1568469435 | Carl Willy Schwenzfeier | Otolaryngology | 497 Saint Andrews Blvd, Charleston, SC 29407-7184 | 2005-07-06 |
| 1669479986 | Edward G Behrens | Otolaryngology | 1849 Savage Rd, Charleston, SC 29407-4726 | 2005-07-01 |
| 1235756578 | Joel Christopher Davies | Otolaryngology | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-07-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.