Kenneth Jordan (NPI# 1477537116, PAC ID# 1254425820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1477537116 |
| PAC ID by PECOS | 1254425820 |
| Professional Enrollment ID | I20070913000739 |
| Full Name | Kenneth Jordan |
| Address |
1660 Plum Ln Redlands CA 92374-4532 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1971 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050327 | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| 050272 | REDLANDS COMMUNITY HOSPITAL |
| 050129 | ST BERNARDINE MEDICAL CENTER |
| 051335 | BEAR VALLEY COMMUNITY HOSPITAL |
| 051312 | MOUNTAINS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1660 Plum Ln, Redlands, CA 92374-4532 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Street Address |
1660 PLUM LN |
| City | REDLANDS |
| State | CA |
| Zip | 92374-4532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Fernando | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 1895 Orange Tree Ln, Redlands, CA 92374-0112 |
| Eric K Chin | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| John P Carlson | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Richard D Pesavento | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Kauai N Kennedy-eto | Family Medicine | Mommy and Me Medical Group Inc | 1711 N Orange St, Redlands, CA 92374-2254 |
| Myung Jin Kim | Physical Therapy | Total Care Physical Therapy Inc | 1323 W Colton Ave, Suite 105, Redlands, CA 92374-2853 |
| Edward Frank Castro | Physical Therapy | 1752 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rita M Awender | Chiropractic | 1746 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rayed Fayed Sahawneh | Chiropractic | 1460 Industrial Park Ave, Redlands, CA 92374-2892 | |
| Carolyn Md Doherty | Otolaryngology | Andrew S Florea Md Inc | 1174 Nevada St, Suite 100, Redlands, CA 92374-2893 |
| Find all physicians in zip 92374 | |||
| City | REDLANDS |
| Zip Code | 92374 |
| Specialty | NEUROLOGY |
| City + Specialty | REDLANDS + NEUROLOGY |
Please comment or provide details below to improve the information on Kenneth Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.