Wade Thomas Jordan in Springfield - Nephrology

Wade Thomas Jordan - NPI 1326135781

Wade Thomas Jordan is a Nephrology in Springfield, Missouri. Wade Thomas Jordan practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Wade Thomas Jordan is 1326135781. The last update date is 2009-12-01.

Wade Thomas Jordan's current location address is 1911 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178865000 and fax number 4178861100. The mailing address for Wade Thomas Jordan is 1911 S National Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Wade Thomas Jordan
Address 1911 S National Ave, Springfield, Missouri
Phone Number 4178865000
Fax Number 4178861100
Sole Proprietor N
Credentials M..D.

NPI Number Detail

NPI Number 1326135781
Provider Enumeration Date 2006-10-06
Last Updated Date 2009-12-01

Provider Mailing Address Detail

Address 1911 S National Ave
City Springfield
State Missouri (MO)
Post Code 658042219
Phone Number 4178865000
Fax Number 4178861100

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No R4P99
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122036001 AR --
390003925 RAILROAD MEDICARE
203047915 MO --
153509 HEALTHLINK
25183 MO BLUE CROSS BLUE SHIELD
2012599 MO MEDICARE PTAN

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FAQs about Wade Thomas Jordan

What is the unique 10-digit identifier code issued to Wade Thomas Jordan by the Centers for Medicare & Medicaid Services?

The Wade Thomas Jordan has been assigned the NPI (National Provider Identifier) 1326135781 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Wade Thomas Jordan located?

The Wade Thomas Jordan is located at 1911 S National Ave, Springfield, MO 658042219.

What is the Wade Thomas Jordan's area of specialization and corresponding taxonomy classification?

The Wade Thomas Jordan's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.

On what date was the 1326135781 assigned to Wade Thomas Jordan?

The Wade Thomas Jordan was issued its 1326135781 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Wade Thomas Jordan's details last updated?

The information pertaining to the Wade Thomas Jordan, including its address, specialty, and other details, was most recently updated on 2009-12-01.

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