DR. TIMOTHY J JORDAN (NPI# 1164524047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164524047 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J JORDAN |
| Credential | MD |
| Practice Address |
444 Chesterfield Center Suite 205 Chesterfield MO 63017 |
| Practice Telephone | 6365301883 |
| Practice Fax Number | 6365300039 |
| Mailing Telephone | 6365301883 |
| Mailing Fax Number | 6365300039 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
36290 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DEA | AJ1818016 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560541 | Timothy Jordan | Physical Therapist | 721 Louisville Rd, Alcoa, TN 37701-1833 | 2017-07-10 |
| 1285165084 | Timothy Jordan | Internal Medicine | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2017-03-23 |
| 1770824948 | Timothy Michael Jordan | Specialist | 1345 W Bay Dr Ste 101, Largo, FL 33770-2276 | 2013-03-12 |
| 1982801130 | Timothy D Jordan | Ophthalmology | 2709 Blue Ridge Rd, Ste 100, Raleigh, NC 27607-6462 | 2007-06-29 |
| 1477654515 | Timothy Harold Jordan | Dentist | 23111 Ventura Blvd, Suite 104, Woodland Hills, CA 91364 | 2006-09-25 |
| 1457309510 | Timothy Bruce Jordan | Emergency Medicine | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2006-05-04 |
| 1669442612 | Timothy W Jordan | Pediatrics | 101 W 8th Ave, Suite 4200, Spokane, WA 99204-2307 | 2006-01-24 |
| 1235111873 | Timothy C Jordan | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2005-11-18 |
| Street Address |
444 CHESTERFIELD CENTER SUITE 205 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316203391 | Elizabeth Milkovich | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2012-04-04 |
| 1427286897 | Benjamin Thomas Black | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-06-24 |
| 1164625877 | Elizabeth A Hastings | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-06-08 |
| 1164463097 | Sarah E Soden | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-06-10 |
| 1780625368 | Carol A Daniel | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-06-08 |
| 1972550143 | Michele Kilo | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-31 |
| 1134179765 | Carol Garrison | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-12 |
| 1871542183 | Tarah Kruger | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-06 |
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.