Edmond R Jordan (NPI# 1033173562, PAC ID# 1254461700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033173562 |
| PAC ID by PECOS | 1254461700 |
| Professional Enrollment ID | I20100610000470 |
| Full Name | Edmond R Jordan |
| Organization Legal Name | ANMED HEALTH |
| Address |
885 Tiger Blvd Clemson SC 29631-1480 |
| Phone Number | 8646546800 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1951215243 |
| Number of Group Practice Members | 253 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420027 | ANMED HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 885 Tiger Blvd, Clemson, SC 29631-1480 | 8646546800 | ANMED HEALTH |
| 895 Tiger Blvd, Clemson, SC 29631-1480 | 8646546800 | ANMED HEALTH |
| Organization Legal Name | ANMED HEALTH |
| Physicians | 269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lazedra Monah Myisha Johnson | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Lauren R Broberg | Physician Assistant | Anmed Health | 160 Perpetual Sq, Anderson, SC 29621-1713 |
| Nicole Megan Portela | Nurse Practitioner | Anmed Health | 703 N Fant St, Anderson, SC 29621-1580 |
| Julie Brown Weathers | Physical Therapy | Anmed Health | 127 Walmart Dr, Hartwell, GA 30643-8435 |
| Vipin Verma | Internal Medicine | Anmed Health | 105 Buford Ave, Anderson, SC 29621-3313 |
| David W Finney | Family Medicine | Anmed Health | 895 Tiger Blvd, Clemson, SC 29631-1480 |
| Jessica G Bolden | Nurse Practitioner | Anmed Health | 109 Montgomery Dr, Anderson, SC 29621-3333 |
| Caitlin E Collier | Family Medicine | Anmed Health | 28 Chandler Ctr, Hartwell, GA 30643-7914 |
| Thomas J Way | Otolaryngology | Anmed Health | 1655 E Greenville St A, Anderson, SC 29621-2062 |
| Justin Mark Moore | Family Medicine | Anmed Health | 4120 Hwy 24, Anderson, SC 29626-5321 |
| Street Address |
885 TIGER BLVD |
| City | CLEMSON |
| State | SC |
| Zip | 29631-1480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert G Quattlebaum | Family Medicine | Anmed Health | 885 Tiger Blvd, Clemson, SC 29631-1480 |
| Peter C Schriver | General Surgery | Cannon Memorial Hospital | 885 Tiger Blvd, Suite A, Clemson, SC 29631-1480 |
| Kristen Hall | Nurse Practitioner | Anmed Health | 885 Tiger Blvd, Clemson, SC 29631-1480 |
| Kenneth C Walters | Internal Medicine | Anmed Health | 885 Tiger Blvd, Clemson, SC 29631-1480 |
| Jocelyn B Sikes | Nurse Practitioner | Anmed Health | 885 Tiger Blvd, Clemson, SC 29631-1480 |
| Kimberly Renee Ostrowski | Otolaryngology | Cannon Memorial Hospital | 885 Tiger Blvd, Suite A, Clemson, SC 29631-1480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela C Hitt | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Esther W Noel | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Kate M Mcclellan | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Donna D Garrett | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Sandra Lou Jacobs | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Raul Luevano | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1300 Tiger Blvd, Clemson, SC 29631-1114 |
| Justin H Surratt | Optometry | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Nancy A Mahlie | Optometry | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Brian R Johnson | Ophthalmology | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Joseph L Parisi | Ophthalmology | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Find all physicians in zip 29631 | |||
| City | CLEMSON |
| Zip Code | 29631 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CLEMSON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edmond R 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.