RICHARD MONTGOMERY JORDAN (NPI# 1821075508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821075508 |
| Entity Type | Individual |
| Full Name | RICHARD MONTGOMERY JORDAN |
| Credential | MD |
| Practice Address |
620 Summit Crossing Pl Suite 106 Gastonia NC 28054-2176 |
| Practice Telephone | 7048678021 |
| Practice Fax Number | 7048644606 |
| Mailing Telephone | 7048678021 |
| Mailing Fax Number | 7048644606 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
30923 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
30923 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 4629496 | 01 | |
| UNITED HEALTHCARE | 1642994 | 01 | |
| AETNA HMO | 2137652 | 01 | |
| RAILROAD MEDICARE | 300068233 | 01 | |
| BLUE CROSS BLUE SHIELD | 47484 | 01 | |
| MEDCOST | 72386 | 01 | |
| SC | N30923 | 05 | |
| PARTNERS | 6677 | 01 | |
| NC | 8947484 | 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 |
| 1740273309 | Richard Liming Jordan | Family Medicine | 3280a Henderson Dr, Jacksonville, NC 28546-5250 | 2005-08-29 |
| 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 |
| Street Address |
620 SUMMIT CROSSING PL SUITE 106 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063495117 | Christopher Johannus Vandermeer | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | 2005-11-22 |
| 1962069534 | Gaston Family Health Services, Inc. | Clinic/Center | 620 Summit Crossing Pl, Gastonia, NC 28054-2176 | 2019-05-20 |
| 1356767768 | Samuel Hatchel | Physical Therapist | 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 | 2014-03-10 |
| 1003116377 | Alicia Mcquain | Physical Therapist | 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 | 2010-11-02 |
| 1942498662 | Elzbieta Bule | Physical Therapist | 620 Summit Crossing Pl, Gastonia, NC 28054-2176 | 2007-10-09 |
| 1720119696 | Margaret C Junker | Physical Therapist | 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 | 2007-03-09 |
| 1992856181 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 620 Summit Crossing Pl, Suite 109, Gastonia, NC 28054-2176 | 2007-01-15 |
| 1306821814 | Robert William Miller | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 | 2005-12-08 |
| 1275517831 | Chad Michael Clark | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 | 2005-12-06 |
| 1235113929 | Christopher William Saltmarsh | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124376454 | Unc Vascular Access Center | Radiology | 2214 Nelson Hwy, Chapel Hill, NC 27517-8923 | 2012-08-16 |
| 1467691766 | Michael B Smith | Radiology | 2134 14th Avenue Cir Nw Ste D, Hickory, NC 28601-7358 | 2009-02-10 |
| 1366687568 | American Access Care of Nc Pllc | Radiology | 2501 Weston Parkway, Cary, NC 27513-5598 | 2008-12-03 |
| 1568580892 | Waleska Michelle Pabon-ramos | Radiology | 2301 Erwin Rd Duke North Dumc 3808, Durham, NC 27710-0999 | 2007-03-26 |
| 1730267014 | James D Bowie | Radiology | Dumc 3808, Durham, NC 27710-0001 | 2006-11-02 |
| 1699870584 | Carolina Radiology Consultants, Pa | Radiology | 1705 So Tarboro St, Wilson Medical Center, Wilson, NC 27893 | 2006-09-14 |
| 1447368659 | Triad Radiology Associates, Pllc | Radiology | 3015 Maplewood Ave Ste 200, Winston Salem, NC 27103-4075 | 2006-08-28 |
| 1396791745 | Peter Lawrence Leuchtmann | Radiology | 3979 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-26 |
| 1497733554 | High Point Radiological Services | Radiology | 1208 Eastchester Dr, Suite 200, High Point, NC 27265-3170 | 2006-01-08 |
| 1710533286 | Theo Joseph Beach Jr. | Radiology | 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 | 2019-08-12 |
| 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.