DR. GARY CHARLES JORDAN (NPI# 1659431146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431146 |
| Entity Type | Individual |
| Full Name | DR. GARY CHARLES JORDAN |
| Credential | M.D. |
| Practice Address |
360 Brockton Ave Abington MA 02351-2186 |
| Mailing Address |
14 Jason Ln Mansfield MA 02048-3449 |
| Practice Telephone | 7818781700 |
| Practice Fax Number | 7818714375 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 213123 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD08294 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LIFESPAN | MD08294 | 01 |
| RI | BLUE CHIP | 401734 | 01 |
| RI | CIGNA | 5631596001 | 01 |
| MA | 110078711A | 05 | |
| RI | NEIGHBORHOOD HEALTH PLAN | 27633 | 01 |
| RI | HARVARD HEALTH PLAN | AA33702 | 01 |
| RI | BLUE CROSS | 2643-9 | 01 |
| RI | AETNA | 2690610 | 01 |
| RI | 007009305 | 05 | |
| RI | UNITED HEALTHCARE | 04-05379 | 01 |
| RI | TUFTS HEALTH PLAN | 404565 | 01 |
| RI | BLUE CHOICE | MD08294 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942710900 | Gary Jordan | Rehabilitation Practitioner | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2017-10-04 |
| 1790227957 | Gary M Jordan | Psychologist | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-11-04 |
| 1316299183 | Gary Lee Jordan | Occupational Therapy Assistant | 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 | 2012-10-03 |
| 1013140250 | Gary Paul Jordan | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2009-09-03 |
| 1477731255 | Gary M Jordan | Pharmacist | 294 Middle Country Rd, Coram, NY 11727-4428 | 2008-02-05 |
| 1134344195 | Gary Alan Jordan | Emergency Medicine | 597 S Enota Dr Ne, Gainesville, GA 30501-2545 | 2007-04-16 |
| Street Address |
360 BROCKTON AVE |
| City | ABINGTON |
| State | MA |
| Zip Code | 02351-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991068 | Sridhar H Dasari | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2005-09-06 |
| 1598121774 | Fitzgerald, Grazioso, & Kuczma | Clinic/Center | 360 Brockton Ave, Suite 204, Abington, MA 02351-2186 | 2016-01-04 |
| 1740551589 | Massachusetts Wellness Group | Exclusive Provider Organization | 360 Brockton Ave, Suite 203, Abington, MA 02351-2186 | 2012-01-25 |
| 1629379110 | Hahn Home Health Care Inc | Home Health | 360 Brockton Ave, Suite 204, Abington, MA 02351-2186 | 2010-11-15 |
| 1639407836 | Sarah Freitas | Physical Therapist | 360 Brockton Ave, Abington, MA 02351-2186 | 2009-11-27 |
| 1710148374 | Lauren C Blair | Physical Therapist | 360 Brockton Ave, Ste 205, Abington, MA 02351-2186 | 2008-06-17 |
| 1700074788 | Abington Pediatrics, PC | Pediatrics | 360 Brockton Ave, Ste102, Abington, MA 02351-2186 | 2007-10-04 |
| 1265648810 | Samuel Maghuyop | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2007-05-14 |
| 1306918933 | Yara Fernandez | Pediatrics | 360 Brockton Ave, Suite 102, Abington, MA 02351-2186 | 2006-11-15 |
| 1649296427 | Richard C Lords | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972016855 | Shannon Broderick | Behavior Technician | 64 Bradford St, Abington, MA 02351 | 2017-11-14 |
| 1881006716 | Francia Toussaint | Behavioral Analyst | 6 Forsyth Drive, Apt 634, Abington, MA 02351 | 2014-05-27 |
| 1215198478 | Theresa Jeanne Mellen | Counselor | 10 Bedford Street, Abington, MA 02351 | 2008-06-20 |
| 1548347610 | United Church of Christ | Psychologist | 10 Bedford St, Abington, MA 02351 | 2006-11-01 |
| 1750491825 | Edward William Scoppettuolo Jr. | Dentist | 313 Adams St, Ste 202, Abington, MA 02351 | 2006-08-30 |
| 1700890183 | Scott Anthony Schipani | Dentist | 12 Lincoln Blvd, Abington, MA 02351 | 2006-07-28 |
| 1649529033 | Mario Corpuz | Registered Nurse | 536 Washington St, Abington, MA 02351 | 2012-08-31 |
| 1841528767 | Phillip M Koury | Dentist | 481 Bedford St, Abington, MA 02351 | 2009-12-04 |
| 1619019163 | Jennifer Ann Theberge Ierardi | Social Worker | 10 Bedford St, Abington, MA 02351 | 2007-02-13 |
| 1780725150 | Lois Anne Dipasqua | Counselor | 10 Bedford St, Abington, MA 02351 | 2007-02-09 |
| Find all providers in zip 02351 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1467982066 | Li-hui Zhang | Internal Medicine | 1235 Old York Rd Ste 113, Abington, PA 19001-3840 | 2017-06-15 |
| 1134656630 | Waqas Ullah | Internal Medicine | Abington Memorial Hospital, Gme Office, 1200 Old York Road, Abington, PA 19001-3788 | 2017-05-15 |
| 1740632843 | Seyed Hesam Mostafavi Toroghi | Internal Medicine | 1200 Old York Rd Dept Of, Abington, PA 19001-3720 | 2016-07-13 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1659667244 | Anubha Tewary | Internal Medicine | 1200 Old York Rd Ste 2b, Abington, PA 19001-3720 | 2011-06-22 |
| 1689767915 | Abdallah Halim El-habr | Internal Medicine | 1235 Old York Rd Ste G121, Abington, PA 19001-3800 | 2006-09-30 |
| 1932131000 | John D Diorio | Internal Medicine | 277 Washington St, Abington, MA 02351-2489 | 2006-07-07 |
| 1003860677 | Abington Memorial Hospital | Internal Medicine | 1400 Old York Road, Suite A, Abington, PA 19001-2600 | 2006-05-19 |
| 1396736708 | Dahlia Riad | Internal Medicine | 673 Bedford St, Abington, MA 02351-1921 | 2005-11-03 |
| 1073512620 | Arnold J Cramer | Internal Medicine | 1865 Old York Rd, Abington, PA 19001-1137 | 2005-07-17 |
| Find all providers in ABINGTON | ||||
Please comment or provide details below to improve the information on DR. GARY CHARLES JORDAN.
| 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.