WILLIAM R. JORDAN, M.D., LLC (NPI# 1689922205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689922205 |
| Entity Type | Organization |
| Organization Name | WILLIAM R. JORDAN, M.D., LLC |
| Practice Address |
1212 7th Ave Ste B Phenix City AL 36867-5805 |
| Practice Telephone | 3342977790 |
| Practice Fax Number | 3342977127 |
| Mailing Telephone | 3342977790 |
| Mailing Fax Number | 3342977127 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DR. WILLIAM RICHIE JORDAN (PHYSICIAN-OWNER) |
| Authorized Official Telephone | 3342977790 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1790768646 | 05 |
| Street Address |
1212 7TH AVE STE B |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447802772 | Tiara Lawson | Obstetrics & Gynecology | 825 Highway 165 Unit 580, Fort Mitchell, AL 36856-4401 | 2019-07-16 |
| 1528338126 | Mary Frances Holley | Obstetrics & Gynecology | 2001 Gunter Ave, Guntersville, AL 35976-2126 | 2012-01-12 |
| 1063699965 | Albert Bennette St. John | Obstetrics & Gynecology | 21075 Rabren Rd, Andalusia, AL 36421-8115 | 2008-01-23 |
| 1568680163 | Glenn Todd Gallaspy IIi | Obstetrics & Gynecology | 3715 Dauphin Street, Suite 2-a, Mobile, AL 36608 | 2007-04-22 |
| 1699845172 | Kyle Parke Christenberry | Obstetrics & Gynecology | 303 Bay St Ste 100, Gadsden, AL 35901 | 2006-11-09 |
| 1427137959 | James C Upchurch | Obstetrics & Gynecology | 1310 Alford Avenue, Birmingham, AL 35226 | 2006-11-03 |
| 1770661753 | Anna Ruth Jeter | Obstetrics & Gynecology | 1017 West Meighan Boulevard, Gadsden, AL 35901-3647 | 2006-11-01 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| 1891703849 | Athens North Alabama Womens Health | Obstetrics & Gynecology | 1005 W Market St Ste 7, Athens, AL 35611 | 2006-08-04 |
| 1578586798 | George E Fahy IIi | Obstetrics & Gynecology | 2004 Medical Center Dr, Bay Minette, AL 36507-4163 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
Please comment or provide details below to improve the information on WILLIAM R. JORDAN, M.D., LLC.
| 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.