Michael R Jordan (NPI# 1669817821, PAC ID# 9234357724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669817821 |
| PAC ID by PECOS | 9234357724 |
| Professional Enrollment ID | I20160831001521 |
| Full Name | Michael R Jordan |
| Organization Legal Name | DARTMOUTH-HITCHCOCK CLINIC |
| Address |
294 Daniel Webster Hwy Merrimack NH 03054 |
| Phone Number | 6034244713 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183537509 |
| Number of Group Practice Members | 1198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300003 | MARY HITCHCOCK MEMORIAL HOSPITAL |
| 300020 | SOUTHERN NH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 294 Daniel Webster Hwy, Merrimack, NH 03054 | 6034244713 | DARTMOUTH-HITCHCOCK CLINIC |
| Organization Legal Name | DARTMOUTH-HITCHCOCK CLINIC |
| Physicians | 1178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Winn | Nurse Practitioner | Dartmouth-hitchcock Clinic | 100 Hitchcock Way, Manchester, NH 03104-4125 |
| Anas Hannoun | Neurology | Dartmouth-hitchcock Clinic | 87 Mcgregor St, Manchester, NH 03102-3765 |
| Dillon H Young | Nurse Practitioner | Dartmouth-hitchcock Clinic | 117 Railroad St, Keene, NH 03431-3747 |
| Leah E Abrahamsen | Clinical Social Worker | Dartmouth-hitchcock Clinic | 85 Mechanic St, Suite 3b 1, Lebanon, NH 03766-1537 |
| Diane M Price | Nurse Practitioner | Dartmouth-hitchcock Clinic | 456 Woodstock Rd, C/o Woodstock Terrace, Woodstock, VT 05091-9759 |
| Joanne B Hayes | Nurse Practitioner | Dartmouth-hitchcock Clinic | 80 Lyme Rd, Hanover, NH 03755-1225 |
| Derek T Jurus | Obstetrics/gynecology | Dartmouth-hitchcock Clinic | 5 Washington Place, Bedford, NH 03110-6742 |
| Lauren J Welton | Physician Assistant | Dartmouth-hitchcock Clinic | 1 Elliot Way, Manchester, NH 03103-3502 |
| Latasha M Heape | Certified Registered Nurse Anesthetist (crna) | Dartmouth-hitchcock Clinic | 590 Court St, Keene, NH 03431-1719 |
| Elias E Loukas | Internal Medicine | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Street Address |
294 DANIEL WEBSTER HWY |
| City | MERRIMACK |
| State | NH |
| Zip | 03054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Archie W Dickinson Jr. | Family Medicine | Dartmouth-hitchcock Clinic | 294 Daniel Webster Hwy, Merrimack, NH 03054 |
| Mary F Merkel | Family Medicine | Dartmouth-hitchcock Clinic | 294 Daniel Webster Hwy, Merrimack, NH 03054 |
| Ewa J Jankowska | Family Medicine | Dartmouth-hitchcock Clinic | 294 Daniel Webster Hwy, Merrimack, NH 03054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley M Arndt | Nurse Practitioner | Foundation Medical Partners Inc | 696 Daniel Webster Hwy, Immediate Care of Southern New Hampshire Merrimakc, Merrimack, NH 03054-2748 |
| James D Dawson Jr. | Physician Assistant | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Christopher J Couture | Sports Medicine | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Laura E Moll | Physician Assistant | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Debra Lynn Garlin | Family Medicine | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Patrick P Nguyen | Family Medicine | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Cheryl L De La Rosa | Nurse Practitioner | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Colleen M Mahoney | Clinical Social Worker | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Robert D Gordon | Dermatology | Foundation Medical Partners Inc | 399 Daniel Webster Highwy, Infectious Disease, Merrimack, NH 03054-2748 |
| Elizabeth C Clark | Infectious Disease | Foundation Medical Partners Inc. | 399 Daniel Webster Highwy, Merrimack, NH 03054-2748 |
| Find all physicians in zip 03054 | |||
| City | MERRIMACK |
| Zip Code | 03054 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MERRIMACK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael R Jordan.
| 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.