DR. JOHN GIBBONS JORDAN JR. (NPI# 1003052002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003052002 |
| Entity Type | Individual |
| Full Name | DR. JOHN GIBBONS JORDAN JR. |
| Credential | M.D., M.P.H. |
| Practice Address |
3209 Colonial Dr Columbia SC 29203-6930 |
| Practice Telephone | 8034347399 |
| Mailing Telephone | 8034347399 |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2008-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
LL31039 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982835815 | John David Jordan | Physical Therapist | 300 S Mahoney Dr, Unit C-1, Cimarron Lodge, Telluride, CO 81435 | 2009-07-27 |
| 1790813913 | John Thomas Jordan | Dentist | 1414 Washington Ave # 988, Washington Court House, OH 43160-2326 | 2007-03-01 |
| 1811047566 | John S. Jordan | Chiropractor | 300 N Main St Ste C, Crown Point, IN 46307-3281 | 2007-01-12 |
| 1235296377 | John Robert Jordan | Psychologist | 10 Exchange Ct, Unit 401, Pawtucket, RI 02860-2261 | 2007-01-01 |
| 1316058449 | John Joseph Jordan | Dentist | 333 Green Street, Havre De Grace, MD 21078 | 2006-08-31 |
| 1417963695 | John Ross Jordan | Dentist | 1106 W River Rd, Detroit Lakes, MN 56501-2723 | 2006-07-31 |
| 1285675215 | John C Jordan | Family Medicine | 1035 E Old Hickory Blvd, Madison, TN 37115 | 2006-06-09 |
| 1952373292 | John N Jordan | Dentist | 7501 Mission Rd, #n-1, Prairie Village, KS 66208-4217 | 2006-02-02 |
| 1205824042 | John N Jordan | Internal Medicine | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2005-10-06 |
| 1548733249 | John Scott Jordan | Nurse Practitioner | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-01-04 |
| Street Address |
3209 COLONIAL DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547032 | Michael Chinedu Nwude | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2005-09-09 |
| 1245728989 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2018-04-27 |
| 1114373131 | Jesse Miller | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2016-05-09 |
| 1326468299 | Puja Dalal | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2014-04-18 |
| 1528403359 | Kari-claudia M Allen | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2013-05-07 |
| 1982966479 | Alexander Roy | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2012-06-12 |
| 1326326398 | Morgan Bridget Adams | Pharmacist | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2011-07-25 |
| 1851604169 | Joshua Adam Riggsbee | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-07-16 |
| 1669783239 | Fang Emily Deng | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-06-28 |
| 1952635146 | Olabisi Badmus | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2009-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790084515 | Robert Frank Marino | Preventive Medicine | 2213 Bee Ridge Rd, Columbia, SC 29223-6802 | 2011-03-18 |
| 1396076071 | Lena Bretous | Preventive Medicine | 4104 Percival Rd, Columbia, SC 29229-8307 | 2010-01-20 |
| 1457397788 | Gowtham Adamane Rao | Preventive Medicine | 4101 Percival Rd, Columbia, SC 29229-8320 | 2006-06-22 |
| 1669783239 | Fang Emily Deng | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-06-28 |
| 1316103419 | Teresa A Foo | Preventive Medicine | 2100 Bull St, Columbia, SC 29201 | 2008-07-29 |
| 1346400348 | Theognosia Papasozomenos | Preventive Medicine | 3209 Colonial Dr, Family & Preventive Medicine, Columbia, SC 29203-6930 | 2008-06-12 |
| 1982889366 | Peter Lowell Beilenson | Preventive Medicine | 7178 Columbia Gateway Dr, Howard County Health Department, Columbia, MD 21046-2581 | 2008-01-04 |
| 1124231519 | Jude Okechukwu Onuoha | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2007-05-08 |
| 1750403713 | Lisa F Waddell | Preventive Medicine | 1751 Calhoun St, Columbia, SC 29201-2606 | 2007-04-03 |
| 1326170069 | Cynthia Merle Lipsitz | Preventive Medicine | 7178 Columbia Gateway Dr, Columbia, MD 21046-2132 | 2007-03-09 |
| Find all providers in COLUMBIA | ||||
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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.