Oakley C Jordan (NPI# 1750340063, PAC ID# 4486651056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750340063 |
| PAC ID by PECOS | 4486651056 |
| Professional Enrollment ID | I20090616000795 |
| Full Name | Oakley C Jordan |
| Organization Legal Name | HIGHLAND MEDICAL CORP |
| Address |
3445 Poplar Ave Suite 13 Memphis TN 38111-4667 |
| Phone Number | 9012610706 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5496046690 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440183 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3445 Poplar Ave, Suite 13, Memphis, TN 38111-4667 | 9012610706 | HIGHLAND MEDICAL CORP |
| 3445 Poplar Ave, Memphis, TN 38111-4667 | 9012610706 | HIGHLAND MEDICAL CORP |
| Organization Legal Name | HIGHLAND MEDICAL CORP |
| Physicians | 1 |
| Street Address |
3445 POPLAR AVE SUITE 13 |
| City | MEMPHIS |
| State | TN |
| Zip | 38111-4667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Marietta | Optometry | Optometry Group | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 |
| Bradley N Hines | Optometry | Optometry Group | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 |
| Gary G Nance | Optometry | Optometry Group | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 |
| Herman L Tacker | Optometry | Optometry Group | 3445 Poplar Ave, Memphis, TN 38111-4667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher E Rickman | Diagnostic Radiology | Radadvantage A Professional Corporation | 98 E Goodwyn St, Memphis, TN 38111-2514 |
| Caiya Moncrief | Chiropractic | 3179 Poplar Ave, Memphis, TN 38111-3501 | |
| Elbert E Hines Iii | Family Medicine | 3030 Walnut Grove Rd, Memphis, TN 38111-3508 | |
| Cinda Cox Berryhill | Nurse Practitioner | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Cecilia D Adams | Family Medicine | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Emily J Jallah | Nurse Practitioner | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Jeffery S Warren | Family Medicine | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Jade Lee Wilkie | Nurse Practitioner | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Nastassia Smith | Nurse Practitioner | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Lauren Michelle Person | Nurse Practitioner | The Little Clinic of Tennessee LLC | 3444 Plaza Ave, Memphis, TN 38111-4614 |
| Find all physicians in zip 38111 | |||
| City | MEMPHIS |
| Zip Code | 38111 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEMPHIS + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.