DR. JOHN C JORDAN (NPI# 1285675215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285675215 |
| Entity Type | Individual |
| Full Name | DR. JOHN C JORDAN |
| Other Name | JOHN C JORDAN |
| Credential | MD |
| Practice Address |
1035 E Old Hickory Blvd Madison TN 37115 |
| Practice Telephone | 6158686464 |
| Practice Fax Number | 6158687986 |
| Mailing Telephone | 6158686464 |
| Mailing Fax Number | 6158687986 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD023806 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3069230 | 05 |
| 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 |
| 1952373292 | John N Jordan | Dentist | 7501 Mission Rd, #n-1, Prairie Village, KS 66208-4217 | 2006-02-02 |
| 1205824042 | John N Jordan | Internal Medicine | 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | 2005-10-06 |
| 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 |
1035 E OLD HICKORY BLVD |
| City | MADISON |
| State | TN |
| Zip Code | 37115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366643074 | Madison Family Practice | Legal Medicine | 1035 E Old Hickory Blvd, Madison, TN 37115-4160 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| 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 |
|---|---|---|---|---|
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1598390932 | Ashley Rae Woodcock | Family Medicine | 844 Slaughter Rd, Madison, AL 35758-8836 | 2020-03-05 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1538628961 | Heidi Hollinger | Family Medicine | 145 Kelso Blvd, Madison, AL 35756-4285 | 2019-03-15 |
| 1902364383 | Robert Thomas Pepper | Family Medicine | 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 | 2019-03-05 |
| 1497240485 | Doctor-patient Medicine Inc | Family Medicine | 101 Westover Cir Ste B, Madison, AL 35758-4900 | 2018-06-22 |
| 1457863243 | Debra Ann Mandarino | Family Medicine | 4223 Mandan Cres # 4223, Madison, WI 53711-3063 | 2017-11-02 |
| 1407367683 | Roxanne L Brown | Family Medicine | 1210 Briarville Rd Bldg F, Madison, TN 37115-5136 | 2017-10-16 |
| 1871023242 | Tulio Romulo Figarola | Family Medicine | 225 Mill Walk Ct, Madison, AL 35758-1565 | 2017-06-18 |
| 1649704586 | Zaunklay Finnila | Family Medicine | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2017-04-18 |
| Find all providers in MADISON | ||||
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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.