JOHN N JORDAN (NPI# 1205824042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205824042 |
| Entity Type | Individual |
| Full Name | JOHN N JORDAN |
| Credential | MD |
| Practice Address |
3816 Highway 17 S North Myrtle Beach SC 29582-5069 |
| Mailing Address |
4728 Jenn Dr Ste 104 Myrtle Beach SC 29577-5714 |
| Practice Telephone | 8432721411 |
| Practice Fax Number | 8432722130 |
| Mailing Telephone | 8434492272 |
| Mailing Fax Number | 8432365088 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13156 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | DB4083 | 01 |
| 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 |
| 1548733249 | John Scott Jordan | Nurse Practitioner | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-01-04 |
| 1720449531 | John Jordan | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2016-03-08 |
| Street Address |
3816 HIGHWAY 17 S |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077430 | Emily Neal De Leon | Nurse Practitioner | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2020-03-09 |
| 1376711382 | Richard Gale Snyder | General Practice | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2008-02-12 |
| 1982642096 | Nicholas J Pennings | Family Medicine | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2006-06-02 |
| 1639137482 | Steven Taylor Mcgown | Family Medicine | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| Find all providers in zip 29582 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780721373 | Robert Allan Engleman | Internal Medicine | 1021 2nd Ave N, Suite 5, North Myrtle Beach, SC 29582-3200 | 2007-01-31 |
| 1841256914 | Elma Denise Whidby | Internal Medicine | 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582-2224 | 2006-04-26 |
| 1215950951 | Cara S Ferguson | Internal Medicine | 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582-2224 | 2006-07-25 |
| 1326073370 | North Myrtle Beach Internal Medicine | Internal Medicine | 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582-2224 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706280 | Lexington Health Inc | Internal Medicine | 146 E Hospital Dr Ste 530, West Columbia, SC 29169-4800 | 2020-10-08 |
| 1134746555 | Medical University Hospital Authority | Internal Medicine | 1205 North Main Street, Mullins, SC 29474 | 2020-07-01 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1972128221 | John Fincher Gist Bobo | Internal Medicine | 169 Ashley Ave Rm 202muh, Charleston, SC 29425-8905 | 2020-06-12 |
| 1841829215 | Baird Medical, LLC | Internal Medicine | 65 Winston Cir, Pawleys Island, SC 29585-4841 | 2020-04-07 |
| 1104452770 | Marlo Bruno, LLC | Internal Medicine | 191 Preston Dr, Pawleys Island, SC 29585-6320 | 2020-03-16 |
| 1205469624 | Crocodile Pharmacy Services, LLC | Internal Medicine | 1731 Laurel St, Columbia, SC 29201-2624 | 2020-02-13 |
| 1053943555 | Rafael D Sanchez Medical Services LLC | Internal Medicine | 17 Field Sparrow Rd, Hilton Head Island, SC 29926-1812 | 2020-02-12 |
| 1952945636 | Jag Medical Services LLC | Internal Medicine | 105 S Cedar St Ste G, Summerville, SC 29483-6078 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
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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.