James Christopher Jordan (NPI# 1811962574, PAC ID# 9931001377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1811962574 |
PAC ID by PECOS | 9931001377 |
Professional Enrollment ID | I20151102000553 |
Full Name | James Christopher Jordan |
Organization Legal Name | PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC |
Address |
502 6th Baxter Xing Fort Mill SC 29708-6596 |
Phone Number | 8033968100 |
Gender | M |
Credential | MD |
Graduation Year | 2002 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 9739075235 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420002 | PIEDMONT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1690 Hwy 160 W, Fort Mill, SC 29708-8024 | 8035477541 | PMC PHYSICIAN NETWORK LLC |
502 6th Baxter Xing, Fort Mill, SC 29708-6596 | 8033968100 | PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC |
200 S Herlong Ave, Rock Hill, SC 29732-1182 | PIEDMONT PHYSICIAN NETWORK, LLC |
Organization Legal Name | PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC |
Physicians | 1 |
Street Address |
502 6TH BAXTER XING |
City | FORT MILL |
State | SC |
Zip | 29708-6596 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pratik A Mehta | Family Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Cynthia E Buchanan | Family Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Saumya K Mehta | Family Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Avkash Vijay Daji | Family Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
David Stuver | Internal Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Cynthia D Stacy | Nurse Practitioner | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Michelle Laura Mroz | Nurse Practitioner | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert A Cynowa Jr. | Chiropractic | 1520 Onyx Rdg, Suite 101, Fort Mill, SC 29708-0007 | |
Thomas M Kowalski | Physical Therapy | 9347 Founders St, Suite A, Fort Mill, SC 29708-6417 | |
Luke F Mackinnon | Chiropractic | 1808 2nd Baxter Xing, Suite 108, Fort Mill, SC 29708-6437 | |
Whitney N Kersey | Nurse Practitioner | 1808 2nd Baxter Xing, Suite 108, Fort Mill, SC 29708-6437 | |
Jeffery N Cox | Sleep Medicine | 102 Stone Village Dr, Fort Mill, SC 29708-6479 | |
Randall J Conger | Chiropractic | 101 Stone Village Dr, Fort Mill, SC 29708-6489 | |
Tammy Lynn James | Clinical Social Worker | 1808 2nd Baxter Xing, Suite 208, Fort Mill, SC 29708-6492 | |
David Hall | Chiropractic | 1171 Market St, Suite 104, Fort Mill, SC 29708-6502 | |
Amber W Tolbert | Clinical Social Worker | 975 Market St, Fort Mill, SC 29708-6531 | |
Theresa Torres Lobbestael | Chiropractic | Carolina Sports Clinic Fort Mill LLC | 985 Market St, Suite 201, Fort Mill, SC 29708-6533 |
Find all physicians in zip 29708 |
City | FORT MILL |
Zip Code | 29708 |
Specialty | FAMILY PRACTICE |
City + Specialty | FORT MILL + FAMILY PRACTICE |
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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.