Carl Daniel Jordan (NPI# 1194921452, PAC ID# 8123275773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1194921452 |
| PAC ID by PECOS | 8123275773 |
| Professional Enrollment ID | I20120904000543 |
| Full Name | Carl Daniel Jordan |
| Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
| Address |
137 N Industrial Suite A Azle TX 76020-2991 |
| Phone Number | 8174448900 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4385535954 |
| Number of Group Practice Members | 933 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| 450419 | TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE |
| Address | Phone | Organization |
|---|---|---|
| 137 N Industrial, Suite A, Azle, TX 76020-2991 | 8174448900 | TEXAS HEALTH PHYSICIANS GROUP |
| 2005 Fort Worth Hwy, Suite 200, Weatherford, TX 76086-4781 | 8175997661 | TEXAS HEALTH PHYSICIANS GROUP |
| Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
| Physicians | 1023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart Michnick | Orthopedic Surgery | Texas Health Physicians Group | 2900 N Interstate 35, Suite 200, Denton, TX 76201-5144 |
| Dorian P Cerrato | Nurse Practitioner | Texas Health Physicians Group | 1614 Scripture St, Suite 9, Denton, TX 76201-3838 |
| Kathryn Michelle Heine | Nurse Practitioner | Texas Health Physicians Group | 12465 Timberland Blvd, Suite 401, Fort Worth, TX 76244-5215 |
| Melissa Michelle Andersen | Nurse Practitioner | Texas Health Physicians Group | 3000 N Interstate 35, Denton, TX 76201-5119 |
| Khurram Ahmad | Interventional Cardiology | Texas Health Physicians Group | 3315 Unicorn Lake Blvd, Suite 171, Denton, TX 76210-0127 |
| Michael S. Rogers | Family Medicine | Texas Health Physicians Group | 970 N Coit Rd, Suite 3040, Richardson, TX 75080-5418 |
| John J. Christoforetti Ii | Sports Medicine | Texas Health Physicians Group | 1120 Raintree Circle, Suite 280, Allen, TX 75013-5258 |
| Kathryn Anne Guardado | Nurse Practitioner | Texas Health Physicians Group | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7002 |
| Stephanie Spaight | Nurse Practitioner | Texas Health Physicians Group | 2730 Sw Wilshire Blvd, Burleson, TX 76028-8338 |
| Carrie Pedersen | Nurse Practitioner | Texas Health Physicians Group | 874 Ed Hall Dr, Suite B108, Kaufman, TX 75142-1861 |
| Street Address |
137 N INDUSTRIAL SUITE A |
| City | AZLE |
| State | TX |
| Zip | 76020-2991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shira Love | Nurse Practitioner | Texas Health Physicians Group | 137 N Industrial, Suite A, Azle, TX 76020-2991 |
| Marshall Morrison | Internal Medicine | Texas Health Physicians Group | 137 N Industrial, Suite A, Azle, TX 76020-2991 |
| Amber Larimore-olguin | Nurse Practitioner | Texas Health Physicians Group | 137 N Industrial, Suite A, Azle, TX 76020-2991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn L Scott | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Sandra K Parker | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Gary L Hawkins Ii | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| John E Carter | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Ricky Gerald Wade | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Kriss E Myers | Family Medicine | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Mona Eltiar | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Jamie Sligar Strong | Optometry | 601 Northwest Pkwy B, Azle Vision Source, Azle, TX 76020-2930 | |
| Christopher M Opella | Family Medicine | 601 Northwest Pkwy, Suite C, Azle, TX 76020-2930 | |
| Almas Amin | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 460 Northwest Pkwy, Azle, TX 76020-3136 |
| Find all physicians in zip 76020 | |||
| City | AZLE |
| Zip Code | 76020 |
| Specialty | GENERAL SURGERY |
| City + Specialty | AZLE + GENERAL SURGERY |
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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.