DR. JORDAN WILLIAMS (NPI# 1639707334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639707334 |
| Entity Type | Individual |
| Full Name | DR. JORDAN WILLIAMS |
| Credential | MD |
| Practice Address |
1802 E 19th St Tulsa OK 74104-5403 |
| Mailing Address |
2532 Brooke Rd Pennsburg PA 18073-2325 |
| Practice Telephone | 9186347500 |
| Mailing Telephone | 2678853086 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701093 | Jordan Leigh Williams | Registered Nurse | 6901 E Chauncey Ln Apt 3169, Phoenix, AZ 85054-5146 | 2020-08-19 |
| 1023643541 | Jordan Williams | Specialist/Technologist | 11580 Magnolia Ave, Riverside, CA 92505-7737 | 2020-03-04 |
| 1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
| 1629480512 | Jordan C Williams | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2014-05-27 |
| 1689271496 | Jordan Alexandria Williams | Behavior Technician | 3800 Camp Creek Pkwy Sw Ste 100, Atlanta, GA 30331-6247 | 2020-10-05 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1962055731 | Jordan Chase Williams | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-07-22 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1063988343 | Jordan Williams | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-15 |
| 1225513419 | Jordan L Williams | Behavioral Analyst | 6021 244th St Sw Ste 400, Mountlake Terrace, WA 98043-5426 | 2018-10-03 |
| Street Address |
1802 E 19TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720073133 | Brian Ribak | Anesthesiology | 1802 E 19th St, Suite 400, Tulsa, OK 74104-5425 | 2005-09-13 |
| 1578183703 | Mitchell Mccain | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-04-17 |
| 1316576085 | Kelly Lorraine Stone | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-04-05 |
| 1437787942 | Bradley Cox | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-30 |
| 1851929483 | Daniel Ray Asher | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-30 |
| 1548721269 | Aaron R Alvarado | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2019-03-26 |
| 1184111015 | Justin Puthoff | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2018-04-17 |
| 1427554898 | Stuart Reynolds | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2018-04-03 |
| 1962936922 | Adee Heiman | Surgery | 1802 E 19th St, Kravis Building, Tulsa, OK 74104-5403 | 2017-04-17 |
| 1295189439 | Zakiya Shakir | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
| 1003423369 | Armin Kalantari | Student in an Organized Health Care Education/Training Program | 7310 E 92nd St, Tulsa, OK 74133-6039 | 2020-09-29 |
| 1437766268 | Abigail Roberts | Student in an Organized Health Care Education/Training Program | 2657 S Oswego Pl, Tulsa, OK 74114-4719 | 2020-09-25 |
| 1275149577 | Jesse Taylor Strong | Student in an Organized Health Care Education/Training Program | 50 S Florence Ave, Tulsa, OK 74104-1714 | 2020-09-22 |
| 1376159632 | Nisha Rajagopal | Student in an Organized Health Care Education/Training Program | 6152 S Richmond Ave, Tulsa, OK 74136-1613 | 2020-09-21 |
| 1386250728 | Magera Shaw | Student in an Organized Health Care Education/Training Program | 1436 S Darlington Ave, Tulsa, OK 74112-6314 | 2020-09-21 |
| 1811503261 | Bridgette Molenda | Student in an Organized Health Care Education/Training Program | 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 | 2020-09-21 |
| 1922613777 | Anna Claire Shadid | Student in an Organized Health Care Education/Training Program | 2122 E 47th Pl, Tulsa, OK 74105-4922 | 2020-09-09 |
| 1316552169 | Laura Warning | Student in an Organized Health Care Education/Training Program | 412 S Olympia Ave, Tulsa, OK 74127-8825 | 2020-09-09 |
| 1487269239 | James Maxwell Cox | Student in an Organized Health Care Education/Training Program | 4507 S Madison Pl, Tulsa, OK 74105-4564 | 2020-09-09 |
| Find all providers in TULSA | ||||
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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.