James Randall Jordan in Jackson - Otolaryngology
James Randall Jordan - NPI 1811968746
James Randall Jordan is a Otolaryngology in Jackson, Mississippi. James Randall Jordan practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for James Randall Jordan is 1811968746. The last update date is 2013-01-31.
James Randall Jordan's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845160 and fax number 6018156985. The mailing address for James Randall Jordan is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Randall Jordan |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845160 |
| Fax Number | 6018156985 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811968746 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2013-01-31 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845160 |
| Fax Number | 6018156985 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 17643 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125977 | MS | -- | |
| P00660862 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to James Randall Jordan by the Centers for Medicare & Medicaid Services?
The James Randall Jordan has been assigned the NPI (National Provider Identifier) 1811968746. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James Randall Jordan's physical address?
The James Randall Jordan is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is James Randall Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Randall Jordan is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
On what date did the James Randall Jordan receive the assignment of its 1811968746 from the Centers for Medicare & Medicaid Services?
The James Randall Jordan was issued its 1811968746 by the Centers for Medicare & Medicaid Services on 2006-01-30.
When was the information regarding James Randall Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Randall Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-31.