MICHAEL ANDREW JORDAN (NPI# 1861889776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861889776 |
| Entity Type | Individual |
| Full Name | MICHAEL ANDREW JORDAN |
| Credential | M.D. |
| Practice Address |
825 Nicollet Mall Ste 2000 Minneapolis MN 55402-2708 |
| Mailing Address |
4448 30th Ave S Minneapolis MN 55406-3713 |
| Practice Telephone | 6123384861 |
| Practice Fax Number | 6123338306 |
| Mailing Telephone | 7013676181 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 65545 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware Street Se, Mmc 493, Minneapolis, MN 55406 | 7013676181 | |
| 701 Park Ave, Hennepin County Medical Center Ty Residency, Minneapolis, MN 554151623 | 7013676181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629493275 | Michael Jordan | Preventive Medicine | 2 Stone Gate Ct, Setauket, NY 11733-1346 | 2014-02-19 |
| 1134469448 | Michael Jack Jordan | Counselor | 1418 Lindale Ave, Norman, OK 73069-4423 | 2013-02-22 |
| 1598971723 | Michael Wayne Jordan | Psychiatry & Neurology | 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 | 2007-05-15 |
| 1932283025 | Michael Thomas Jordan | Physician Assistant | Seminole Blvd, St. Petersburg, FL 33744 | 2006-10-25 |
| 1588755862 | Michael Arthur Jordan | Optometrist | 3063 Dauphin St, Mobile, AL 36606-4040 | 2006-09-28 |
| 1205816840 | Michael Couzens Jordan | Pediatrics | 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 | 2006-01-19 |
| 1104470848 | Michael Jordan | Pharmacist | 1485 Harrison Blvd, Ogden, UT 84404-6093 | 2019-07-31 |
| 1376103986 | Michael K Jordan | Behavior Technician | 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 | 2019-06-17 |
| 1699244418 | Michael D Jordan | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2018-11-21 |
| 1063994846 | Michael Jordan | Occupational Therapy Assistant | 1414 College St, Sulphur Springs, TX 75482-3431 | 2018-08-29 |
| Street Address |
825 NICOLLET MALL STE 2000 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| 1124310735 | Karen Rose Armbrust | Ophthalmology | 1 Veterans Dr # 2e, Minneapolis, MN 55417-2309 | 2011-05-15 |
| 1679875280 | Irving Shapiro | Ophthalmology | 21 Greenway Gables, Minneapolis, MN 55403-2145 | 2010-12-02 |
| 1841425899 | Claris Eye Care & Surgery, P.a. | Ophthalmology | 710 E 24th St Ste 102, Minneapolis, MN 55404-3810 | 2009-05-20 |
| 1174799357 | Alejandra Decanini Mancera | Ophthalmology | 701 Park Avenue, P7, Suite 200, Minneapolis, MN 55415 | 2008-05-07 |
| 1972699635 | Fredericus J. Van Kuijk | Ophthalmology | 420 Delaware Street Se / Mmc493, 9th Floor Pwb, Minneapolis, MN 55455 | 2006-10-04 |
| 1336244771 | John Dillard Rice | Ophthalmology | Minneapolis Veterans Administration Hospital, 1 Veterans Drive, Minneapolis, MN 55417 | 2006-09-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
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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.