MARSHALL C JORDAN (NPI# 1982656880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982656880 |
| Entity Type | Individual |
| Full Name | MARSHALL C JORDAN |
| Credential | MD |
| Practice Address |
Espanola Multi-specialty Clinic 1010 Spruce St Espanola NM 87532 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5053670340 |
| Practice Fax Number | 5053670346 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2006-0824 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 29377056 | 05 |
| Street Address |
ESPANOLA MULTI-SPECIALTY CLINIC 1010 SPRUCE ST |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337893 | Gaylord V Swan | Obstetrics & Gynecology | Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 | 2005-09-20 |
| 1104971886 | Herbert V Rachelson | Orthopaedic Surgery | Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467407031 | Blair Kent Hough | Surgery | 1010 Spruce St, Pmg Espanola, Espanola, NM 87532-2724 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522986 | Organ Peak Surgery | Surgery | 141 N Roadrunner Pkwy Ste 220, Las Cruces, NM 88011-2001 | 2020-09-09 |
| 1578090296 | Teddi Swidinsky | Surgery | 108 Legion Dr Ste B, Las Vegas, NM 87701-4898 | 2017-05-11 |
| 1871989228 | Jaideep Dasgupta | Surgery | Unm School of Medicine Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-13 |
| 1902148885 | Fermin Miguel Fontan | Surgery | 2100 S Triviz Dr Ste G, Las Cruces, NM 88001-0601 | 2013-03-19 |
| 1134476120 | John Garrett Cope | Surgery | 5304 Cortaderia Pl Ne, Albuquerque, NM 87111-8058 | 2012-08-08 |
| 1265790216 | St. Vincent Hospital | Surgery | 1213 Gusdorf Road, Taos, NM 87571 | 2012-04-27 |
| 1942568209 | St. Vincent Hospital | Surgery | 2237 Trinity Dr, Los Alamos, NM 87544-2385 | 2012-04-24 |
| 1154613248 | Julie Ann Wesp | Surgery | 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 | 2011-05-06 |
| 1639469174 | David Hoang | Surgery | 715 Dr Martin Luther King Jr Ave Ne Ste 301, Albuquerque, NM 87102-3668 | 2011-04-18 |
| 1063701951 | Nathan Ray Blecker | Surgery | Msc11 6093, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-03-31 |
| 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.