Timothy Michael Jordan (NPI# 1770824948, PAC ID# 6901189570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770824948 |
| PAC ID by PECOS | 6901189570 |
| Professional Enrollment ID | I20170206000110 |
| Full Name | Timothy Michael Jordan |
| Organization Legal Name | DEGARA APP PLLC |
| Address |
800 S Washington Ave St Marys Michigan Saginaw MI 48601-2551 |
| Phone Number | 9899078000 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618251398 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 1345 W Bay Dr, Suite 101, Largo, FL 33770-2276 | 7277248611 | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| 800 S Washington Ave, St Marys Michigan, Saginaw, MI 48601-2551 | 9899078000 | DEGARA APP PLLC |
| Organization Legal Name | DEGARA APP PLLC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zebulon E Heidt | Emergency Medicine | Degara App Pllc | 2110 S M, Suite 76, West Branch, MI 48661-8737 |
| Kevin James Macconnachie | Emergency Medicine | Degara App Pllc | 401 N Hooper St, Mclaren Caro Region, Caro, MI 48723-1476 |
| Corey Alvarez | Emergency Medicine | Degara App Pllc | 805 W Cedar St, St Marys of Standish, Standish, MI 48658-9526 |
| Rasheed A Siddiqui | Internal Medicine | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Michelle A Coaster | Physician Assistant | Degara App Pllc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Jodi L Ralston | Emergency Medicine | Degara App Pllc | 401 S Ballenger Hwy, Flint, MI 48532-3638 |
| Michael C Dettloff | Emergency Medicine | Degara App Pllc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Rose Kodsy | Nurse Practitioner | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Daniel P Wilkerson | Emergency Medicine | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Brendan Haigis | Emergency Medicine | Degara App Pllc | 1375 N Main St, Lapeer, MI 48446-1350 |
| Street Address |
800 S WASHINGTON AVE ST MARYS MICHIGAN |
| City | SAGINAW |
| State | MI |
| Zip | 48601-2551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shrinivas Kambali | Pulmonary Disease | Ascension St Marys Hospital | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| Macksood A Aftab | Diagnostic Radiology | Advanced Diagnostic Imaging PC | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| George Arnold | Diagnostic Radiology | Advanced Diagnostic Imaging PC | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| Lawrence James Ashker | Diagnostic Radiology | Advanced Diagnostic Imaging PC | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| Lisa A Kieb | Physician Assistant | Sound Inpatient Physicians-michigan Pllc | 800 S Washington Ave, St Marys of Michigan Medical Center, Saginaw, MI 48601-2551 |
| Marco Antonio Ramos | Internal Medicine | 800 S Washington Ave, St Mary's of Michigan Medical Center, Saginaw, MI 48601-2551 | |
| Nikki Lynn Tocco | Family Medicine | Sound Inpatient Physicians-michigan Pllc | 800 S Washington Ave, St Marys of Michigan Medical Center, Saginaw, MI 48601-2551 |
| Pervez Yusaf | Orthopedic Surgery | Ascension St Marys Hospital | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| Roger W Ward | Physician Assistant | Mclaren Bay Region | 800 S Washington Ave, Saginaw, MI 48601-2551 |
| Ramesh Penumetsa Raju | Anesthesiology | 800 S Washington Ave, St. Mary's Medical Center, Saginaw, MI 48601-2551 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramakrishnayya Gadam | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Katelyn Barton | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Victoria S Ball | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Teri L Harrison | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Blair Nicole Pancheck | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Anandita Arora | Internal Medicine | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Rita S Ratani | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Arvind R Patel | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Shirley Raveendran | Family Medicine | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Peter G Gulick | Infectious Disease | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
| Find all physicians in zip 48601 | |||
| City | SAGINAW |
| Zip Code | 48601 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAGINAW + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy Michael 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.