PETER MANNING JORDAN (NPI# 1235286626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235286626 |
| Entity Type | Individual |
| Full Name | PETER MANNING JORDAN |
| Credential | M.D. |
| Practice Address |
1002 N Church St Suite 103 Greensboro NC 27401-1439 |
| Mailing Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Practice Telephone | 3362726133 |
| Mailing Telephone | 3368327000 |
| Mailing Fax Number | 3368518427 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30558 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2500770 | 01 | |
| RR MEDICARE | 060039916 | 01 | |
| COMMERCIAL | 561240263 | 01 | |
| PARTNERS | 1142 | 01 | |
| PARTNERS MEDICARE | 1142 | 01 | |
| NC | BCBS | 47479 | 01 |
| NC | 8947479 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780018846 | Peter Jordan | Physical Therapist | 7640 Highway 70 S, Ste 210, Nashville, TN 37221-1758 | 2013-08-26 |
| Street Address |
1002 N CHURCH ST SUITE 103 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475117 | Carolina Eye Surgical and Laser Center | Ophthalmology | 1002 N Church St, Ste 200, Greensboro, NC 27401-1448 | 2005-05-28 |
| 1669903530 | Elizabeth Strickland Simaan | Physician Assistant | 1002 N Church St, Suite 302, Greensboro, NC 27401-1439 | 2017-03-23 |
| 1063778652 | Emina Riebock | Registered Nurse | 1002 N Church St, Ste 302, Greensboro, NC 27401-1439 | 2012-04-09 |
| 1366718876 | John W Campbell | Dentist | 1002 N Church St, Suite 100, Greensboro, NC 27401-1439 | 2012-03-29 |
| 1407172836 | Luke Aaron Kinsinger | Surgery | 1002 N Church St, Ste 302, Greensboro, NC 27401-1449 | 2010-04-09 |
| 1518293976 | Greensboro Pediatric Surgery, PC | Specialist | 1002 N Church St, Ste 301, Greensboro, NC 27401-1439 | 2009-10-20 |
| 1225281876 | Piedmont Eye Surgical and Laser Pllc | Ophthalmology | 1002 N Church St, Suite 200, Greensboro, NC 27401-1439 | 2008-10-28 |
| 1942466230 | Novant Medical Group, Inc. | Internal Medicine | 1002 N Church St, Suite 103, Greensboro, NC 27401-1439 | 2008-08-06 |
| 1902084569 | Michelle Moelhman Carnaghi | Dietitian, Registered | 1002 N Church St, Suite 400, Greensboro, NC 27401-1439 | 2008-02-06 |
| 1245422526 | Marianne L Dellinger | Physician Assistant | 1002 N Church St, Suite 201, Greensboro, NC 27401-1439 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1174619795 | Ajay S Kadakia | Internal Medicine | 108 E Northwood St, Greensboro, NC 27401-1310 | 2006-10-04 |
| 1639275381 | Mohan N Harwani | Internal Medicine | 104 W Northwood St, Suite E, Greensboro, NC 27401-1326 | 2006-09-16 |
| 1306942578 | Jagadeesh Rudrappa Ganji | Internal Medicine | 1910 N Church St Ste A, Greensboro, NC 27405-5665 | 2006-09-15 |
| 1407812936 | Jerome Oscar Spruill | Internal Medicine | 1307 N Elm St, Greensboro, NC 27401-6307 | 2006-04-24 |
| 1861487548 | John Reed Tysinger | Internal Medicine | 1511 Westover Ter, Suite 201, Greensboro, NC 27408-7128 | 2005-09-19 |
| 1841617461 | Weintraub Cardiology Pllc | Internal Medicine | 3200 Northline Ave Ste 250, Greensboro, NC 27408-7619 | 2014-03-20 |
| 1437596269 | Wesley Thomas O'neal | Internal Medicine | 3200 Northline Ave Ste 250, Greensboro, NC 27408-7619 | 2013-06-03 |
| 1841560992 | Jerome O Spruill Md Pa | Internal Medicine | 1307 N Elm St, Greensboro, NC 27401-6307 | 2012-01-06 |
| 1982998159 | Piedmont Cardiovascular, P.a. | Internal Medicine | 1910 N Church St Ste A, Greensboro, NC 27405-5665 | 2011-06-06 |
| 1942466230 | Novant Medical Group, Inc. | Internal Medicine | 1002 N Church St, Suite 103, Greensboro, NC 27401-1439 | 2008-08-06 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.