LOUIS COLLIER JORDAN (NPI# 1902915135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902915135 |
| Entity Type | Individual |
| Full Name | LOUIS COLLIER JORDAN |
| Credential | MD |
| Practice Address |
2428 Knob Creek Rd Suite 201 Johnson City TN 37604-2397 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4232825054 |
| Practice Fax Number | 4232830516 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11556 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890564P | 05 | |
| TN | 3373123 | 05 | |
| TN | BCBS | 4017303 | 01 |
| VA | 005867975 | 05 | |
| NC | 89014AT | 05 | |
| TN | JDH | TN0103 | 01 |
| VA | ANTHEM | 320315 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407937782 | Louis R Jordan | Orthopaedic Surgery | 5501 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6540 | 2006-10-17 |
| 1316976632 | Louis C Jordan | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| Street Address |
2428 KNOB CREEK RD SUITE 201 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628612 | Melissa A Robbins | Nurse Practitioner | 2428 Knob Creek Rd, Suite 102, Johnson City, TN 37604-2397 | 2005-06-13 |
| 1962956516 | Denise W. Bragg | Nurse Practitioner | 2428 Knob Creek Rd, Suite 201, Johnson City, TN 37604-2397 | 2016-08-12 |
| 1215394010 | Allergy Associates, Pa | Durable Medical Equipment & Medical Supplies | 2428 Knob Creek Rd, Suite 102, Johnson City, TN 37604-2397 | 2016-01-25 |
| 1548486293 | James Duncan | Physical Therapist | 2428 Knob Creek Rd, Suite 201, Johnson City, TN 37604-2397 | 2007-04-18 |
| 1770502551 | Janice F Ewing | Nurse Practitioner | 2428 Knob Creek Rd, Ste 102, Johnson City, TN 37604-2397 | 2006-07-19 |
| 1871588806 | Phillip Wayne Jones | Allergy & Immunology | 2428 Knob Creek Rd, Suite 102, Johnson City, TN 37604-2101 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1578524930 | John F Berry | Internal Medicine | 2800 Peoples St Ste 80, Johnson City, TN 37604 | 2006-03-28 |
| 1447236849 | Christopher J Downs | Internal Medicine | 2 Professional Park Dr, Suite 15, Johnson City, TN 37604-6583 | 2005-12-16 |
| 1245228675 | Jeffrey Wayne Schoondyke | Internal Medicine | 701 N State of Franklin Rd Ste 2, Johnson City, TN 37604-3645 | 2005-10-10 |
| 1316932205 | Christopher W. Sholes | Internal Medicine | 311 Princeton Rd, Suite 7, Johnson City, TN 37601-2026 | 2005-09-16 |
| 1710988266 | Hisham Kashou | Internal Medicine | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2005-08-09 |
| 1134782170 | Living Water Vein Institute, P.C. | Internal Medicine | 2800 Peoples St Ste 80, Johnson City, TN 37604-4158 | 2019-04-16 |
| 1003273251 | Blue Ridge Medical Management Corporation | Internal Medicine | 400 N State of Franklin Rd, Room Lk015, Johnson City, TN 37604 | 2016-01-19 |
| 1912325242 | Manar H Jbara | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2014-04-03 |
| 1790114924 | Rasha Aurshiya | Internal Medicine | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2013-11-07 |
| 1568760544 | Karing Hearts Cardiology, Pllc | Internal Medicine | 701 N State of Franklin Rd, Suite 2, Johnson City, TN 37604-3645 | 2011-03-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on LOUIS COLLIER 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.