JORDAN ARTHUR DEAN JR. (NPI# 1700887189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700887189 |
Entity Type | Individual |
Full Name | JORDAN ARTHUR DEAN JR. |
Credential | M.D. |
Practice Address |
111 Omni Drive Seneca SC 29672-9448 |
Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
Practice Telephone | 8648884222 |
Practice Fax Number | 8648880023 |
Mailing Telephone | 8647976306 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2016-05-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 10252 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4697 | 05 | |
SC | 102524 | 05 |
Street Address |
111 OMNI DRIVE |
City | SENECA |
State | SC |
Zip Code | 29672-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700949120 | Beth Lynn Dickerson | Nurse Practitioner | 111 Omni Drive, Seneca, SC 29672-9448 | 2006-12-18 |
1174579254 | Antoinette Marie Bannister | Pediatrics | 111 Omni Drive, Seneca, SC 29672-9448 | 2006-05-26 |
1598758997 | Lorraine Ann Bruce | Pediatrics | 111 Omni Drive, Seneca, SC 29672-3245 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
Find all providers in zip 29672 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801987227 | Linda G Caballero-goehringer | Pediatrics | 3512 Sr 257, Seneca, PA 16346-2946 | 2006-09-28 |
1326066564 | Carey Molin Gully | Pediatrics | 457- B Hwy 123 Bypass, Seneca, SC 29678 | 2006-07-17 |
1740249622 | Atieno Alice R. Ragwar | Pediatrics | 109 Omni Dr Ste B, Seneca, SC 29672-9448 | 2006-03-21 |
1477533917 | Frank A Stewart | Pediatrics | 15579 Wells Highway, Seneca, SC 29678-4318 | 2006-01-19 |
1538145214 | James E Feiste | Pediatrics | 10706 Clemson Blvd, Seneca, SC 29678-4528 | 2005-12-15 |
1992707350 | Glenn Gordon Hamm | Pediatrics | 3512 State Route 257, Suite 106, Seneca, PA 16346-2946 | 2005-08-15 |
1962854125 | Ghs Partners In Health, Inc. | Pediatrics | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2016-07-12 |
1881044386 | Muhammad Badar Munir | Pediatrics | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2016-06-15 |
1649668195 | Partners In Health - Rural Health | Pediatrics | 207 Main St, Seneca, SC 29678-3245 | 2015-01-07 |
1386079804 | Ellen Christy Smith | Pediatrics | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2013-09-04 |
Find all providers in SENECA |
Please comment or provide details below to improve the information on JORDAN ARTHUR DEAN JR..
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.