TIMOTHY MICHAEL JORDAN (NPI# 1770824948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770824948 |
| Entity Type | Individual |
| Full Name | TIMOTHY MICHAEL JORDAN |
| Credential | D.O. |
| Practice Address |
1345 W Bay Dr Ste 101 Largo FL 33770-2276 |
| Practice Telephone | 7275813550 |
| Practice Fax Number | 1844297880 |
| Mailing Telephone | 7274902100 |
| Mailing Fax Number | 8552223965 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | OS15966 | FL | Other Service Providers |
| N | 207R00000X | Internal Medicine | 5101020439 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS15966 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560541 | Timothy Jordan | Physical Therapist | 721 Louisville Rd, Alcoa, TN 37701-1833 | 2017-07-10 |
| 1164524047 | Timothy J Jordan | Pediatrics | 444 Chesterfield Center, Suite 205, Chesterfield, MO 63017 | 2006-09-02 |
| 1285165084 | Timothy Jordan | Internal Medicine | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2017-03-23 |
| 1982801130 | Timothy D Jordan | Ophthalmology | 2709 Blue Ridge Rd, Ste 100, Raleigh, NC 27607-6462 | 2007-06-29 |
| 1477654515 | Timothy Harold Jordan | Dentist | 23111 Ventura Blvd, Suite 104, Woodland Hills, CA 91364 | 2006-09-25 |
| 1457309510 | Timothy Bruce Jordan | Emergency Medicine | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2006-05-04 |
| 1669442612 | Timothy W Jordan | Pediatrics | 101 W 8th Ave, Suite 4200, Spokane, WA 99204-2307 | 2006-01-24 |
| 1235111873 | Timothy C Jordan | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2005-11-18 |
| Street Address |
1345 W BAY DR STE 101 |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821124504 | Jeffrey Thomas Brumfield | Internal Medicine | 1345 W Bay Dr Ste 101, Largo, FL 33770-2276 | 2007-02-26 |
| 1477941623 | Justina Raimer | Physician Assistant | 1345 W Bay Dr Ste 101, Largo, FL 33770-2276 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1821124504 | Jeffrey Thomas Brumfield | Internal Medicine | 1345 W Bay Dr Ste 101, Largo, FL 33770-2276 | 2007-02-26 |
| 1720070261 | David A Gooray | Internal Medicine | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2005-08-19 |
| 1063029668 | Deck V, LLC | Internal Medicine | 11516 Oakhurst Rd, Largo, FL 33774-3948 | 2020-09-28 |
| 1952606683 | George Ibraheim | Internal Medicine | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2011-01-11 |
| 1699931915 | Tara Nicole Hrobowski-blackman | Internal Medicine | 1345 W Bay Dr Ste 301, Largo, FL 33770-2264 | 2008-08-06 |
| 1982815288 | Jesse J Klein | Internal Medicine | 1345 W Bay Dr, Suite 101, Largo, FL 33770-2276 | 2007-05-25 |
| 1083743165 | James C. Marshall, D.o.,f.a.c.c., P.a. | Internal Medicine | 12600 Seminole Blvd, Suite A-3, Largo, FL 33778-2201 | 2007-03-05 |
| 1962577809 | Arthur Christian Held | Internal Medicine | 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774-5374 | 2006-11-22 |
| 1124124862 | Brahmesh Sivaprakasapillai | Internal Medicine | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-09-16 |
| 1265469662 | Scott L. Fuchs | Internal Medicine | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-06-28 |
| Find all providers in LARGO | ||||
Please comment or provide details below to improve the information on TIMOTHY MICHAEL 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.