MR. NATHAN JOHN JORDAN (NPI# 1013953868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013953868 |
| Entity Type | Individual |
| Full Name | MR. NATHAN JOHN JORDAN |
| Credential | MD |
| Practice Address |
1234 Napier Ave St Joseph MI 49085 |
| Mailing Address |
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 2699838300 |
| Practice Fax Number | 2699836965 |
| Mailing Telephone | 6163637339 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301084519 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4626133 | 05 | |
| RAILROAD MEDICARE | P00214793 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316456692 | Nathan Jordan | Behavior Technician | 444 S 44th St, Omaha, NE 68131-3727 | 2017-09-29 |
| 1104264514 | Nathan Aschel Jordan | Ophthalmology | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 | 2013-06-07 |
| 1093841785 | Nathan James Jordan | Occupational Therapist | 1836 South Ave, La Crosse, WI 54601 | 2007-02-26 |
| Street Address |
1234 NAPIER AVE |
| City | ST JOSEPH |
| State | MI |
| Zip Code | 49085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662582 | Miriam Mekila Morgan-skinner | Nurse Practitioner | 1234 Napier Ave, St Joseph, MI 49085 | 2019-08-01 |
| 1790255339 | Teresa Petzke | Physical Therapist | 1234 Napier Ave, St Joseph, MI 49085 | 2018-11-27 |
| 1821023219 | Vernon Sternhill | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-07-12 |
| 1346286101 | William F Leahey | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-21 |
| 1255377016 | Mark David Ottmar | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-21 |
| 1144265430 | Crystal Faith Darling | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-19 |
| 1336183045 | Richard W. Frieden | Psychiatry & Neurology | 1234 Napier Ave, St Joseph, MI 49120-2112 | 2006-06-15 |
| 1548243017 | Marek Rozynek | Anesthesiology | 1234 Napier Ave, St Joseph, MI 49085 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831134931 | Roman Hyszczak | Radiology | 1234 Napier Avenue, St Joseph, MI 49085 | 2006-06-20 |
| 1821023219 | Vernon Sternhill | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-07-12 |
| 1538194923 | Radiology Associates of Berrien County PC | Radiology | 1234 Napier Avenue, St Joseph, MI 49085 | 2006-07-12 |
| 1346286101 | William F Leahey | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-21 |
| 1255377016 | Mark David Ottmar | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-21 |
| 1265477384 | Christopher Karl Shier | Radiology | 1234 Napier Avenue, St Joseph, MI 49085 | 2006-06-20 |
| 1144265430 | Crystal Faith Darling | Radiology | 1234 Napier Ave, St Joseph, MI 49085 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. NATHAN JOHN JORDAN.
| 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.