WILLIAM L. JORDAN MD PC (NPI# 1306094065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306094065 |
| Entity Type | Organization |
| Organization Name | WILLIAM L. JORDAN MD PC |
| Practice Address |
12900 W 9 Mile Rd Oak Park MI 48237-2990 |
| Mailing Address |
Po Box 353 Southfield MI 48037-0353 |
| Practice Telephone | 2485479292 |
| Mailing Telephone | 2485479292 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | DR. WILLIAM LUKE JORDAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2485479292 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 048252 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 1606306732 | 01 | |
| MI | 4352155 10 | 05 |
| Street Address |
12900 W 9 MILE RD |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316256472 | Theodore K Graham Md PC | Obstetrics & Gynecology | 12900 W 9 Mile Rd, Oak Park, MI 48237-2990 | 2010-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659778421 | Awaken Blossom Foundation | Specialist | 6142 Roosevelt Rd # 101, Oak Park, IL 60304-2311 | 2014-11-22 |
| 1861795973 | Network Medical Services, Pllc | Specialist | 22000 Greenfield Rd, Level B, Oak Park, MI 48237-2500 | 2010-12-10 |
| 1134458110 | Michael Webb | Specialist | 915 Pleasant St, Oak Park, IL 60302-3186 | 2009-12-21 |
| 1578703716 | Kelly Chase Wegener | Specialist | 331 S Lombard Ave, Oak Park, IL 60302-3523 | 2009-02-28 |
| 1245453737 | Brad Scott Wolter | Specialist | 173 N Harvey Ave, Oak Park, IL 60302-2622 | 2007-04-11 |
| 1073661799 | Gina Rene' Landfair | Specialist | 126 N Cuyler Ave, Oak Park, IL 60302-2602 | 2007-01-08 |
| 1740344621 | Michelle J Lewis | Specialist | 829 S Maple Ave, Oak Park, IL 60304-1027 | 2006-12-21 |
| 1326110065 | Jonna Borgdorff | Specialist | 408 S Oak Park Ave, Oak Park, IL 60302-3876 | 2006-11-15 |
| 1629079488 | Keke S Uzokwe | Specialist | 167 N Marion St, Oak Park, IL 60301-1032 | 2005-08-02 |
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| Find all providers in OAK PARK | ||||
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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.