DR. RICHARD LIMING JORDAN (NPI# 1740273309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740273309 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LIMING JORDAN |
| Credential | MD |
| Practice Address |
3280a Henderson Dr Jacksonville NC 28546-5250 |
| Practice Telephone | 9109377200 |
| Practice Fax Number | 9109377061 |
| Mailing Telephone | 9109377200 |
| Mailing Fax Number | 9109377061 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-03 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19612 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 47413 | 01 |
| NC | 8947413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659776292 | Richard Jordan | Counselor | 2911 Terrell Rd Ste C, Greenville, TX 75402-5579 | 2014-10-24 |
| 1952320830 | Richard Allen Jordan | Internal Medicine | 1 9040 Jackson Ave Mchj-qs, Tacoma, WA 98431-1972 | 2006-07-19 |
| 1265060453 | Richard Dean Jordan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-01 |
| 1891321733 | Richard Kyle Jordan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-22 |
| 1396282968 | Richard Jordan | Physical Therapy Assistant | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2017-01-20 |
| 1972751543 | Richard Ray Jordan | Anesthesiology | 1017 S Travis Ave, Cleveland, TX 77327-5152 | 2008-09-08 |
| 1356567200 | Richard Jordan | Psychologist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2007-04-18 |
| 1639212558 | Richard Jordan | Internal Medicine | 4476 Tweedy Blvd, South Gate, CA 90280-6359 | 2007-02-14 |
| 1255355483 | Richard Thomas Jordan | Internal Medicine | 1501 Trousdale Dr, 3rd Floor, Burlingame, CA 94010-4506 | 2006-07-27 |
| 1710949979 | Richard C.k. Jordan | Dentist | 513 Parnassus Ave, San Francisco, CA 94143-2205 | 2006-04-04 |
| Street Address |
3280A HENDERSON DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922077940 | Michael Bradley Marks | Nurse Practitioner | 3280a Henderson Dr, Jacksonville, NC 28546-5250 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on DR. RICHARD LIMING JORDAN.
| 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.