DR. ELIJAH JORDAN JR. (NPI# 1932546108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932546108 |
| Entity Type | Individual |
| Full Name | DR. ELIJAH JORDAN JR. |
| Credential | M.D. |
| Practice Address |
7125 East Juan Sanchez Blvd Aspc- Yuma Health Services San Luis AZ 85349 |
| Practice Telephone | 9286278871 |
| Mailing Telephone | 9286278871 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 47197 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
7125 EAST JUAN SANCHEZ BLVD ASPC- YUMA HEALTH SERVICES |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
| 1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
| 1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
| 1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
| 1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
| 1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
| 1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
| 1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
| Find all providers in zip 85349 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825164 | Karen Barcklay | General Practice | 7125 E. Juan Sanchez Blvd, San Luis, AZ 85349 | 2009-08-04 |
| 1285685669 | Jose M Piscoya | General Practice | 1962 E. Juan Sanchez Bulevard, Suite #1, San Luis, AZ 85349 | 2006-05-12 |
| 1043324932 | Sunset Community Health Center Inc | General Practice | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-08-18 |
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| Find all providers with the same taxonomy | ||||
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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.