KENNETH N JORDAN (NPI# 1710081708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081708 |
| Entity Type | Individual |
| Full Name | KENNETH N JORDAN |
| Credential | DO |
| Practice Address |
520 West Madison Street Madison Street Clinic PC Pontiac IL 61764 |
| Mailing Address |
520 West Madison Pontiac IL 61764 |
| Practice Telephone | 8158446106 |
| Practice Fax Number | 8158422526 |
| Mailing Telephone | 8158446106 |
| Mailing Fax Number | 8158422526 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 003036052185 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036052185 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801935044 | Kenneth Michael Jordan | Radiologic Technologist | 4201 E Loop 820 S, Ste C, Ft Worth, TX 76119-4443 | 2007-02-05 |
| 1235186438 | Kenneth A Jordan | Internal Medicine | 295 Maple St Ste 202, Tawas City, MI 48763-9352 | 2006-05-31 |
| 1902867252 | Kenneth Wesley Jordan | Chiropractor | 705 North Fraser St, Georgetown, SC 29442-0958 | 2006-03-28 |
| 1477537116 | Kenneth George Jordan | Specialist | 1660 Plum Ln, Redlands, CA 92374-4532 | 2005-12-06 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1285278580 | Kenneth Warren Jordan | Speech-Language Pathologist | 2600 Compass Rd, Glenview, IL 60026-8001 | 2019-10-30 |
| 1548739147 | Kenneth Jordan | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-13 |
| 1386122141 | Kenneth Jordan | Social Worker | 29 Maple St, Littleton, NH 03561 | 2018-08-03 |
| 1932440385 | Kenneth W Jordan | Pharmacist | 701 E Milam St, Mexia, TX 76667-2445 | 2013-03-11 |
| 1184628505 | Kenneth Wayne Jordan | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2005-06-13 |
| Street Address |
520 WEST MADISON STREET MADISON STREET CLINIC PC |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1033140199 | Kmart Stores of Illinois LLC | Pharmacy | Vermillion Plaza, Pontiac, IL 61764 | 2006-07-06 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1366936742 | Xiao Ji Chen | Family Medicine | 461 West Huron St Suite 107 Admin, Pontiac, MI 48341 | 2018-06-19 |
| 1396248464 | Amber Kay Jones | Family Medicine | 2500 W Reynolds St Ste 207, Pontiac, IL 61764-9774 | 2018-03-14 |
| 1619423225 | Mariam Haq | Family Medicine | 461 W Huron St., Pontiac, MI 48341 | 2016-09-01 |
| 1811349079 | Divjot Minhas | Family Medicine | 145 Seminole St, Pontiac, MI 48341-1641 | 2016-07-11 |
| 1750579660 | John C Purnell | Family Medicine | 401 E Water St, Pontiac, IL 61764-2023 | 2007-10-05 |
| 1518189786 | Madison Street Clinic P.C. | Family Medicine | 520 W Madison St, Pontiac, IL 61764-1729 | 2007-05-03 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| 1881740579 | Philip S. Durocher | Family Medicine | 1201 N Telegraph Rd, Oakland County Jail, Pontiac, MI 48341-1029 | 2007-01-26 |
| 1457426363 | J C Purnell Md Sc | Family Medicine | 401 E Water Street, Pontiac, IL 61764-0470 | 2006-11-24 |
| Find all providers in PONTIAC | ||||
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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.