LEE JORDAN (NPI# 1205240439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205240439 |
| Entity Type | Individual |
| Full Name | LEE JORDAN |
| Credential | MD |
| Practice Address |
18th Medical Group Unit 5142 Apo AP 96368-5142 |
| Mailing Address |
Psc 80 Box 14695 Apo AP 96367 |
| Practice Telephone | 9999999999 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29145 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125.065273 | IL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 180 S 3rd St Ste 400, Belleville, IL 622201952 | 6182567311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378194 | Lee T Jordan | Dermatology | 1102 Roberts Street, Camden, SC 29020 | 2005-12-28 |
| 1114917598 | Lee Jordan | Internal Medicine | 3525 Olentangy River Rd, Suite 6300, Columbus, OH 43214-3937 | 2005-10-26 |
| Street Address |
18TH MEDICAL GROUP UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1891329462 | Nora Kohri | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2020-02-23 |
| 1255892394 | Spencer Kennedy Smith | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2019-03-29 |
| 1245713940 | Anthony J Sanger | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-09-10 |
| 1811474661 | Yangdi Zhou | Dentist | 18th Medical Group, Apo, AP 96368-5142 | 2018-07-24 |
| 1992293682 | Julianne Elizabeth Pilla | Military Health Care Provider | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-04-27 |
| 1053835181 | Bonnie Le | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-31 |
| 1578086872 | Julia Vu | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2017-07-19 |
| 1205358587 | Michele Ferrer Schantz | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-08 |
| 1629517719 | Blake Lewis Tollison | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
| 1619405859 | Sarah Claire Mccullough | Family Medicine | Unit 7095, Apo, AE 09824-7095 | 2017-06-01 |
| 1528449303 | Jacob Lance Heath | Family Medicine | Cmr 411 Bldg 700 Rm41, Apo, AE 09112 | 2015-06-17 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| 1437539228 | Nofisat Almaroof | Family Medicine | Cmr 411 Bldg 260, Apo, AE 09112 | 2015-06-05 |
| 1174903223 | Joseph Henry Chin | Family Medicine | Sgt Shin Woo Kim Clinic, Camp Humphreys, Apo, AP 96251 | 2015-06-04 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1841603446 | Andrew Romney | Family Medicine | Unit 5071 374 Mdg, Apo, AP 96328-5071 | 2014-06-11 |
| 1407267180 | Colby Taylor Neville | Family Medicine | David Grant Medical Center, 60 Mdos/sgsl, 101 Bodin Circle - Bldg 777, Apo, AA 94535-1800 | 2014-05-15 |
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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.