Earl Lawrence Jordan Jr. (NPI# 1750463469, PAC ID# 2062491277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1750463469 |
| PAC ID by PECOS | 2062491277 |
| Professional Enrollment ID | I20071115000033 |
| Full Name | Earl Lawrence Jordan Jr. |
| Address |
2630 Cunningham Ave Joplin MO 64804-1542 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2630 Cunningham Ave, Joplin, MO 64804-1542 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
2630 CUNNINGHAM AVE |
| City | JOPLIN |
| State | MO |
| Zip | 64804-1542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Samuel R Carter | Internal Medicine | 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | JOPLIN + OPHTHALMOLOGY |
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| 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.