DR. RAFAEL EDUARDO JORDAN (NPI# 1750479911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750479911 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL EDUARDO JORDAN |
| Credential | M.D. |
| Practice Address |
2806 Hillcreek Dr Augusta GA 30909-6484 |
| Practice Telephone | 7068630200 |
| Practice Fax Number | 7068634695 |
| Mailing Telephone | 7068630200 |
| Mailing Fax Number | 7068634695 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 51481 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS GA PROVIDER NUMBER | 52017887 | 01 |
| GA | 00962882A | 05 | |
| DEA | BJ7926314 | 01 | |
| SC | SC MEDICAID | G51481 | 01 |
| Street Address |
2806 HILLCREEK DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913514 | Russell D Swanger | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2005-09-22 |
| 1649745530 | Deidra Diane Henley | Nurse Practitioner | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2018-10-08 |
| 1356854590 | Kathryn Fuller Richardson | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2017-11-09 |
| 1306117940 | Tara Lynn Cooper | Specialist/Technologist, Other | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2012-01-12 |
| 1750416020 | Kathryn A. Knodel | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2007-02-23 |
| 1528158540 | Bipinchandra Chudgar | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2006-10-13 |
| 1861580193 | Indrani Bongu | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2006-10-11 |
| 1952499014 | Augusta Obstetrics and Gynecology Specialists, LLC | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2006-10-11 |
| 1326026618 | Jones Mark Gresham | Obstetrics & Gynecology | 2806 Hillcreek Dr, Augusta, GA 30909-6484 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1831553924 | Connor Jordan Biskamp | Obstetrics & Gynecology | Augusta University 1120 15th Street, Augusta, GA 30912-3901 | 2016-04-05 |
| 1922319094 | Obstetrics and Gynecology Services of Augusta PC | Obstetrics & Gynecology | 1500 Johns Road, Suite 3, Augusta, GA 30904-4808 | 2010-06-23 |
| 1962630830 | Linda Marie Street | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909-6580 | 2009-06-30 |
| 1689811036 | Peter Payne | Obstetrics & Gynecology | 2812 Walton Way, Augusta, GA 30909-3826 | 2009-01-07 |
| Find all providers in AUGUSTA | ||||
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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.