DR. WILLIAM MARION JORDAN (NPI# 1841340817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841340817 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MARION JORDAN |
| Other Name | DR. W MARION JORDAN |
| Credential | M.D. |
| Practice Address |
6739 Academy Rd Ne Suite 390 Albuquerque NM 87109-3351 |
| Mailing Address |
5600 Wyoming Blvd Ne Suite 20 Albuquerque NM 87109-3176 |
| Practice Telephone | 5058818181 |
| Practice Fax Number | 5058811181 |
| Mailing Telephone | 5058818181 |
| Mailing Fax Number | 5058811181 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
70-143 | NM | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
70-143 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000022186 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267862 | William Eriksen Jordan | Counselor | 2812 Drake Ave Sw, Huntsville, AL 35805-5122 | 2020-05-19 |
| 1245668516 | William Travis Jordan | Psychologist | 4037 Taylor Rd Ste C, Chesapeake, VA 23321-5500 | 2013-10-24 |
| 1437349420 | William Jefferson Jordan | Orthopaedic Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384 | 2007-07-26 |
| 1346373214 | William Vascoe Jordan IIi | Dentist | 3501 Town Center Blvd S, Sugar Land, TX 77479-1285 | 2007-03-13 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1720099518 | William C Jordan | Counselor | 613 Pelham Rd S Ste 2, Jacksonville, AL 36265-2771 | 2006-08-10 |
| 1366474678 | William Jordan | Dentist | 18789 Sw Boones Ferry Rd, Ste 4, Tualatin, OR 97062-8412 | 2006-07-07 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1275940462 | William Jordan | Pharmacist | 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | 2014-07-19 |
| Street Address |
6739 ACADEMY RD NE SUITE 390 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099207 | Barry James Krakow | Internal Medicine | 6739 Academy Rd Ne, Suite 380, Albuquerque, NM 87109-3351 | 2005-11-07 |
| 1144797432 | Scoliosis Abq LLC | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1376010660 | Susan Halbig | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1740659770 | Jeanette Duffy | Acupuncturist | 6739 Academy Rd Ne, Suite 254, Albuquerque, NM 87109-3351 | 2015-09-21 |
| 1740692755 | Smooth Qi, LLC | Acupuncturist | 6739 Academy Rd Ne, Suite 254, Albuquerque, NM 87109-3351 | 2014-05-24 |
| 1417034927 | John J Kail | Social Worker | 6739 Academy Rd Ne, Suite 234, Albuquerque, NM 87109-3351 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. WILLIAM MARION 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.