JORDAN LEE DUTTER (NPI# 1730157835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730157835 |
| Entity Type | Individual |
| Full Name | JORDAN LEE DUTTER |
| Credential | MD |
| Practice Address |
203 N Division St Flora IN 46929-1024 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 5749674523 |
| Practice Fax Number | 5749674994 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01056529A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200399760 | 05 | |
| IN | CAQH NUMBER | 11319868 | 01 |
| IN | PHCS PID NUMBER | 9397025 | 01 |
| Street Address |
203 N DIVISION ST |
| City | FLORA |
| State | IN |
| Zip Code | 46929-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885930 | Alvan L Eller | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-03-14 |
| 1922666106 | Lydia Anne Capps | Nurse Practitioner | 203 N Division St, Flora, IN 46929-1024 | 2019-06-03 |
| 1447624960 | Unity Healthcare, LLC | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2015-11-20 |
| 1356405484 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 203 N Division St, Flora, IN 46929-1024 | 2006-12-21 |
| 1639192438 | Warren N Root | Emergency Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235504739 | Taylor Reef | Contractor | 215 North Sycamore St, Flora, IN 46929 | 2015-12-09 |
| 1245342187 | Paynes Prescription Pharmacy Inc | Pharmacy | 53 S Center St, Flora, IN 46929-1315 | 2006-08-31 |
| 1831251313 | Brian Wagoner | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2006-12-14 |
| 1932318995 | Drs. Wagoner & Wagoner, PC | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2007-05-22 |
| 1659438885 | Gordon D Wagoner | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2007-01-03 |
| 1285099705 | Alyssa Welte | Dietitian, Registered | 4 E Main St, Flora, IN 46929-1351 | 2015-12-29 |
| 1629499330 | Flora Family Medicine, LLC | Family Medicine | 4 E Main St, Flora, IN 46929-1351 | 2013-12-23 |
| 1043350226 | Carroll Consolidated School Corporation | Local Education Agency (LEA) | 2 S 3rd St, Flora, IN 46929-1367 | 2007-02-07 |
| 1205924958 | Steven A Meeks | Chiropractor | 701 E Columbia St, Flora, IN 46929-1410 | 2006-10-10 |
| 1932629474 | Adam Lowell Spesard | Chiropractor | 701 E Columbia St, Flora, IN 46929-1410 | 2017-06-26 |
| Find all providers in zip 46929 | ||||
| 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 |
|---|---|---|---|---|
| 1538648126 | Mea Primary Care Plus, LLC | Family Medicine | 740 Highway 49 Ste V, Flora, MS 39071-9653 | 2018-08-14 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1063454643 | Flora Family Physicians | Family Medicine | 740 Highway 49 N, Suite H, Flora, MS 39071-9347 | 2006-06-11 |
| 1003885930 | Alvan L Eller | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-03-14 |
| 1144208349 | Brandon Cycholl | Family Medicine | 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 | 2006-01-06 |
| 1447624960 | Unity Healthcare, LLC | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2015-11-20 |
| 1629499330 | Flora Family Medicine, LLC | Family Medicine | 4 E Main St, Flora, IN 46929-1351 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
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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.