DR. CARL CAREY JORDAN (NPI# 1982679452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982679452 |
| Entity Type | Individual |
| Full Name | DR. CARL CAREY JORDAN |
| Credential | M.D. |
| Practice Address |
740 Hospital Dr Suite 300 Beaumont TX 77701-4664 |
| Practice Telephone | 4092128111 |
| Practice Fax Number | 4099811787 |
| Mailing Telephone | 4092128111 |
| Mailing Fax Number | 4099811787 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G2734 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134062202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194921452 | Carl Daniel Jordan | Surgery | 101 Crown Pointe Blvd, Willow Park, TX 76087-1191 | 2007-06-25 |
| 1356460752 | Carl Richard Jordan | Pharmacist | 302 Harbor Pointe Dr, East Peoria, IL 61611-5802 | 2007-03-28 |
| Street Address |
740 HOSPITAL DR SUITE 300 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920022 | Shannon Frugia | Audiologist | 740 Hospital Dr, Suite 310, Beaumont, TX 77701-4664 | 2005-05-24 |
| 1700339744 | Previty Surgical Consultants, Pllc | Surgery | 740 Hospital Dr, Suite 280, Beaumont, TX 77701-4664 | 2016-07-26 |
| 1134511363 | Rick L Evans Md Pa | Obstetrics & Gynecology | 740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 | 2015-02-25 |
| 1801134259 | Amber Marie Theall | Nurse Practitioner | 740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 | 2013-01-18 |
| 1881949386 | Amye Diana Walters | Nurse Practitioner | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2012-07-20 |
| 1699032045 | Cesily Caldwell Cormier | Nurse Practitioner | 740 Hospital Dr, Suite 210, Beaumont, TX 77701-4664 | 2012-04-23 |
| 1477836260 | Anesthesia Associates Pain Institute Pllc | Anesthesiology | 740 Hospital Dr, Suite 150, Beaumont, TX 77701-4664 | 2011-09-28 |
| 1013212976 | Jacqueline Nacole Dugas | Nurse Practitioner | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2011-01-24 |
| 1568780724 | Joni Ann Ruiz | Audiologist | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2010-05-12 |
| 1558691550 | Michael Ong, Md,, P.a. | Internal Medicine | 740 Hospital Dr, Suite 100, Beaumont, TX 77701-4664 | 2010-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135466 | Andrew Victores | Otolaryngology | 740 Hospital Dr Ste 300, Beaumont, TX 77701-4666 | 2012-05-14 |
| 1255661336 | Christian Andrews Corbitt | Otolaryngology | 740 Hospital Dr Ste 300, Beaumont, TX 77701-4666 | 2010-01-12 |
| 1457593626 | Traci Vaughn, M.d., P.a. | Otolaryngology | 2955 Harrison St, Suite 204, Beaumont, TX 77702-1154 | 2009-04-02 |
| 1386858405 | Heartfield E Linn Md Pa | Otolaryngology | 2955 Harrison St, Suite 320, Beaumont, TX 77702-1154 | 2007-05-09 |
| 1538103189 | Jeremy Christopher Roebuck | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-06-15 |
| 1902871874 | William Ellis O'mara Jr. | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-22 |
| 1003881558 | Ray Fontenot | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-20 |
| 1962477406 | Southeast Texas Ear, Nose & Throat, LLP | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4666 | 2006-02-20 |
| 1275508764 | Harold Stephenson Parks Jr. | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-20 |
| 1184699647 | Edward Linn Heartfield | Otolaryngology | 2955 Harrison St, Suite 307, Beaumont, TX 77702-1154 | 2006-02-20 |
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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.