JORDAN RUTHERFORD


Address: 528 W Baldwin Rd Unit A, Panama City, FL 32405-3313
Phone: 8505221522

JORDAN RUTHERFORD (NPI# 1518498054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518498054
Entity Type Individual
Full Name JORDAN RUTHERFORD
Practice Address 528 W Baldwin Rd Unit A
Panama City
FL 32405-3313
Mailing Address 202 E Baldwin Rd Unit B
Panama City
FL 32405-4276
Practice Telephone 8505221522
Mailing Telephone 3344943470
Enumeration Date 2017-03-26
Last Update Date 2020-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ME143517 FL Allopathic & Osteopathic Physicians
N 208000000X Pediatrics T-3420 MS Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
449 W 23rd St, Panama City, FL 324054507 8507698341

Other Providers JORDAN RUTHERFORD

NPI Name Taxonomy Address Enumeration
1407055981 Jordan G Rutherford Dentist 51 David Dr, Pagosa Springs, CO 81147-9440 2007-07-13

Office Location

Street Address 528 W BALDWIN RD UNIT A
City PANAMA CITY
State FL
Zip Code 32405-3313

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1457962136 Kimberlea Fox Behavioral Analyst 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 2020-08-14
1598325714 Covenant Home Health Care, LLC Home Health 107 W. 19th Street, Panama City, FL 32405 2019-06-19
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1871087882 Southeastern Dermatology Group Pa Pharmacy 2505 Harrison Ave Ste A, Panama City, FL 32405 2018-06-22
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
1255848487 Sarah Theriot Social Worker 700 W 23rd St Bldg H, Panama City, FL 32405 2018-01-09
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447681804 House Call Pediatrics Pediatrics 625 W Baldwin Rd Ste B, Panama City, FL 32405-3359 2013-12-10
1467761262 Pediatric Group Pediatrics 2420 Jenks Ave Unit 3, Panama City, FL 32405-4910 2010-09-28
1881808921 Aimee R Bohn Pediatrics 2933 Highway 77, Panama City, FL 32405 2007-05-09
1730275215 Mohammed Abdul Rahim Pediatrics 340 West 23rd St, Suite K, Panama City, FL 32405 2006-10-04
1689639114 Rubina Azam Pediatrics 528 W Baldwin Rd, Panama City, FL 32405-3313 2006-04-18
1003897620 Mohammed Yahia Abdul-rahim Pediatrics 200 W 19th St, Panama City, FL 32405-4628 2005-11-10
1861492829 Marjorie Lee Barnett Pediatrics 449 West 23rd St, Panama City, FL 32405 2005-07-29
1801453865 Ashraf K Abdelhemid Pediatrics 748 Harrison Ave, Panama City, FL 32401-2524 2019-05-24
1730532763 Yaslam Balfaqih Pediatrics 621 W Baldwin Rd, Panama City, FL 32405-3364 2016-07-14
1790130250 Emerald Coast Pediatrics & Adolescents Pediatrics 621 W Baldwin Rd Ste A, Panama City, FL 32405-3364 2016-05-03
Find all providers in PANAMA CITY

Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

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.

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