Staci M Jordan in Overland Park - Family Medicine
Staci M Jordan - NPI 1831185750
Staci M Jordan is a Family Medicine in Overland Park, Kansas. Staci M Jordan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Staci M Jordan is 1831185750. The last update date is 2022-01-14.
Staci M Jordan's current location address is 11725 W 112th St, Overland Park, Kansas. You can contact this provider via phone number 9134695579 and fax number 9133381311. The mailing address for Staci M Jordan is 11725 W 112th St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci M Jordan |
|---|---|
| Address | 11725 W 112th St, Overland Park, Kansas |
| Phone Number | 9134695579 |
| Fax Number | 9133381311 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831185750 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 11725 W 112th St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662102761 |
| Phone Number | 9134695579 |
| Fax Number | 9133381311 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 429110 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Staci M Jordan by the Centers for Medicare & Medicaid Services?
The Staci M Jordan has been assigned the NPI (National Provider Identifier) 1831185750. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Staci M Jordan is physically located?
The Staci M Jordan is physically situated at the following address: 11725 W 112Th St, Overland Park, KS, 662102761.
What is Staci M Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Staci M Jordan is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831185750 to Staci M Jordan?
The Staci M Jordan received its 1831185750 assignment from the Centers for Medicare & Medicaid Services on 2005-09-26.
When was the information pertaining to Staci M Jordan most recently updated or revised?
The details related to Staci M Jordan, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-14.