DR. THOMAS EDISON JORDAN JR. (NPI# 1831192293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831192293 |
| Entity Type | Individual |
| Full Name | DR. THOMAS EDISON JORDAN JR. |
| Credential | M.D., M.P.H. |
| Practice Address |
197 Ridge Rd Jupiter FL 33477-9660 |
| Practice Telephone | 5613397205 |
| Practice Fax Number | 5617467297 |
| Mailing Telephone | 5613397205 |
| Mailing Fax Number | 5617467297 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
52715 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301060662 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME59988 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266699500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762594 | Thomas Jordan | Registered Nurse | 14717 S Minuteman Dr, Draper, UT 84020-9549 | 2019-10-17 |
| 1821519737 | Thomas Roger Jordan | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-06-30 |
| 1083745905 | Thomas Jordan | Psychologist | 574 W End Ave, #64, New York, NY 10024-2748 | 2007-03-09 |
| 1114054293 | Thomas Bret Jordan | Physical Therapist | 534 E Loula St, Olathe, KS 66061-5402 | 2007-02-27 |
| 1801954243 | Thomas M Jordan | Pharmacist | 1020 North Collins, Arlington, TX 76011 | 2006-12-05 |
| 1932157211 | Thomas Andrew Jordan | Dentist | Cmr 402 Apo Ae 09180 Ave, Landstuhl Dental Activity, Apo Ae 09180, NY 09180 | 2006-05-05 |
| 1013442656 | Thomas William Jordan | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2017-04-20 |
| 1255884045 | Thomas Jordan | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214-1315 | 2016-07-27 |
| 1316367048 | Thomas W Jordan | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2014-04-21 |
| 1427485671 | Thomas A Jordan | Acupuncturist | 2630 Brandt School Road, Wexford, PA 15090 | 2013-10-02 |
| Street Address |
197 RIDGE RD |
| City | JUPITER |
| State | FL |
| Zip Code | 33477-9660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
| 1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
| 1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
| 1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
| 1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
| 1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
| 1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
| 1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
| Find all providers in zip 33477 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051403 | Premier Health and Wellness Center of The Palm Beaches, LLC | Psychiatry & Neurology | 221 Greenwich Cir Ste 100, Jupiter, FL 33458-2891 | 2015-04-17 |
| 1194924563 | Jason Finder | Psychiatry & Neurology | 354 Toney Penna Dr Ste 3, Jupiter, FL 33458-5776 | 2007-07-16 |
| 1346366010 | Jose F Espaillat | Psychiatry & Neurology | 11532 177th Pl N, Jupiter, FL 33478-4730 | 2007-03-22 |
| 1568464949 | Rajendrasinh P Mangrola | Psychiatry & Neurology | 4600 Military Trail, Suite 206, Jupiter, FL 33458-4812 | 2005-08-15 |
| 1659376150 | Tasmina Sheikh | Psychiatry & Neurology | 4600 Military Trl, Ste 221, Jupiter, FL 33458-4813 | 2005-06-20 |
| 1770989923 | Jennifer Bruk | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2014-11-17 |
| 1720348915 | Michelle Chaney | Psychiatry & Neurology | 345 Jupiter Lakes Blvd Ste 302a, Jupiter, FL 33458-7100 | 2012-05-21 |
| 1295031920 | Raju Mangrola, Md, Pa | Psychiatry & Neurology | 4600 Military Trail, Suite 206, Jupiter, FL 33458-4812 | 2011-01-27 |
| 1114227725 | Edward M. Zawadzki, D.o., P.a. | Psychiatry & Neurology | 248 W Bay Cedar Cir, Jupiter, FL 33458-7123 | 2010-10-28 |
| 1366567166 | Tasmina Sheikh M D P A | Psychiatry & Neurology | 4600 Military Trail, Ste 221, Jupiter, FL 33458-4813 | 2007-03-20 |
| Find all providers in JUPITER | ||||
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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.