DR. SCOTT B. JORDAN (NPI# 1982686739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982686739 |
| Entity Type | Individual |
| Full Name | DR. SCOTT B. JORDAN |
| Credential | M.D. |
| Practice Address |
1800 12th St Meridian MS 39301-4158 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6017039222 |
| Practice Fax Number | 6017036770 |
| Mailing Telephone | 6017039506 |
| Mailing Fax Number | 6017033264 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 13138 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF AL | 731-04048 | 01 | |
| MS | 00110619 | 05 | |
| RAILROAD MEDICARE | P00113821 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104348754 | Scott Frederic Jordan | Counselor | 1391 Washington Blvd, Pittsburgh, PA 15206-1801 | 2017-07-14 |
| 1508230178 | Scott Jordan | Physical Therapist | 2807 Greystone Comm Blvd, Suite 34, Birmingham, AL 35242-9601 | 2015-11-19 |
| 1487916649 | Scott E Jordan | Obstetrics & Gynecology | 3401 N Broad St, 7th Floor Zone B, Philadelphia, PA 19140-5103 | 2012-06-13 |
| 1790860294 | Scott Jordan | Counselor | 1235 Main St, Buffalo, NY 14209-2111 | 2006-10-25 |
| 1982623237 | Scott M. Jordan | Dentist | 285 N El Camino Real, Suite 210, Encinitas, CA 92024-5383 | 2006-07-18 |
| Street Address |
1800 12TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986591 | Richard S. Abney | Internal Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2005-07-14 |
| 1962057950 | Charles D Lafleur | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2019-08-06 |
| 1255806329 | Delois Darlene Ortego | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2018-10-04 |
| 1003334301 | Amanda Danielle Simpson | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2017-09-07 |
| 1689119851 | Medical Arts Surgical Group | Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2016-12-27 |
| 1053866681 | Alisha L Miller | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2016-08-24 |
| 1356791982 | Trenton Hughes | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2016-06-14 |
| 1588037972 | Kristen Mcpherson | Nurse Practitioner | 1800 12th St, Meridian, MS 39301 | 2015-11-05 |
| 1275910663 | Rush Medical Foundation | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2015-05-05 |
| 1801294772 | Donald Jason Farrar | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2014-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043578784 | Meridian Ob/gyn, Pllc | Obstetrics & Gynecology | 1020 22nd Ave, Meridian, MS 39301-5001 | 2012-05-01 |
| 1205064888 | Seale Women's Care, LLC | Obstetrics & Gynecology | 1800 12th St Ste 4a, Meridian, MS 39301-4158 | 2009-06-23 |
| 1346481850 | Rush Medical Group of Newton, Pa | Obstetrics & Gynecology | 2303 13th St, Meridian, MS 39301-3940 | 2009-03-12 |
| 1730341280 | Ronnye D Purvis M.d. PC | Obstetrics & Gynecology | 2420 11th St, Meridian, MS 39301-5033 | 2008-06-26 |
| 1609934058 | Meridian Hma Inc | Obstetrics & Gynecology | 1020 22nd Avenue, Ste A, Meridian, MS 39301 | 2006-12-05 |
| 1780784496 | Elizabeth A. Trest | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2006-09-23 |
| 1598865206 | James John Purdy | Obstetrics & Gynecology | 1221 24th Avenue, Meridian, MS 39301 | 2006-09-23 |
| 1851495295 | Ronnye Dale Purvis | Obstetrics & Gynecology | 2420 11th Street, Meridian, MS 39301 | 2006-09-07 |
| 1144323387 | Virginia Carney Nelson | Obstetrics & Gynecology | 1702 14th St, Meridian, MS 39301-4140 | 2006-09-06 |
| 1134160062 | Marianne L. Zakarian | Obstetrics & Gynecology | 2536 N. Stokesberry Place, Meridian, ID 83646 | 2006-06-10 |
| Find all providers in MERIDIAN | ||||
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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.