Timothy D. Jordan, Md, Pllc

LBN: Timothy D. Jordan, Md, Pllc
Timothy D. Jordan, Md, Pllc is an health care organization with primary practice located at 2709 Blue Ridge Rd Suite 100, Raleigh NC 27607-6462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Timothy D. Jordan, Md, Pllc can be contacted via phone (919) 782-5400, or through Jordan, Timothy D via phone (919) 782-5400.

Contact Information

Primary practice address
2709 Blue Ridge Rd Suite 100 Raleigh NC 27607-6462
Phone: (919) 782-5400
Fax: (919) 782-1680
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Timothy D Doctor of Medicine (MD)
Phone: (919) 782-5400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9800583 North Carolina

Profile Details

NPI number 1043381320
LBN Legal business name Timothy D. Jordan, Md, Pllc
DBA Doing business as
Authorized official Jordan, Timothy D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043381320 NPPES
North Carolina Other 1038G BCBS
North Carolina MEDICAID 891038G BCBS

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