SUSAN ANNE JORDAN (NPI# 1952361776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952361776 |
| Entity Type | Individual |
| Full Name | SUSAN ANNE JORDAN |
| Credential | M.D. |
| Practice Address |
1526 E. Main Street Melbourne AR 72556 |
| Practice Telephone | 8703684344 |
| Practice Fax Number | 8703683051 |
| Mailing Telephone | 8703684344 |
| Mailing Fax Number | 8703683051 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E4534 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 159002001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275670 | Susan Louise Jordan | Behavioral Analyst | 284 Crestwood Ct, Fishkill, NY 12524-3309 | 2014-04-15 |
| 1982840963 | Susan Jordan | Licensed Practical Nurse | 55 Heather Ln, Levittown, NY 11756-3307 | 2008-12-23 |
| 1861511438 | Susan Beth Jordan | Behavioral Analyst | 7839 University Ave, La Mesa, CA 91942-0476 | 2007-03-28 |
| 1093898926 | Susan Kleck Jordan | Counselor | 7701 E 1st Pl, Suite D, Denver, CO 80230-6920 | 2006-10-23 |
| 1073613709 | Susan A Jordan | Dietitian, Registered | 1010 South, 7650 East, Crow Agency, MT 59022-0022 | 2006-09-23 |
| 1003913799 | Susan E. Jordan | Nurse Practitioner | 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2006-09-17 |
| 1427047331 | Susan Starbuck Jordan | Registered Nurse | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2005-10-14 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| 1295018653 | Susan Jordan | Nurse Practitioner | 360 Peak One Drive, Suite #350, Frisco, CO 80443-0738 | 2011-09-22 |
| Street Address |
1526 E. MAIN STREET |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| Find all providers in zip 72556 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970277 | Kimberly Gayle Ross | Family Medicine | 1919 Slone Blvd, Melbourne, FL 32935-4756 | 2020-07-28 |
| 1245706423 | Vargas Medical Services LLC | Family Medicine | 606 Sheridan Rd, Melbourne, FL 32901-3227 | 2018-10-16 |
| 1013467554 | First Locums Inc | Family Medicine | 3248 Cortona Dr, Melbourne, FL 32940-8613 | 2016-10-07 |
| 1922327774 | Angela Matthews | Family Medicine | 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 | 2010-05-19 |
| 1013197201 | Lauren Romeo Md Pa | Family Medicine | 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 | 2007-11-06 |
| 1023220605 | Marta Cyzio | Family Medicine | 1368 Tipperary Dr, Melbourne, FL 32940-6030 | 2007-05-04 |
| 1578787941 | Donna J. Badolato, Md, Pa | Family Medicine | 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 | 2007-04-13 |
| 1801914858 | Marilyn C. Moss, M.d. | Family Medicine | 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2007-03-27 |
| 1639217870 | Kenneth Robert Mcelynn | Family Medicine | 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 | 2007-02-01 |
| 1760568935 | Kristine R Everding | Family Medicine | 2002 Pennwood Dr, Melbourne, FL 32901-5934 | 2006-10-31 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on SUSAN ANNE 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.