Thomas Edison Jordan in Jupiter - Psychiatry
Thomas Edison Jordan - NPI 1831192293
Thomas Edison Jordan is a Psychiatry in Jupiter, Florida. Thomas Edison Jordan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Thomas Edison Jordan is 1831192293. The last update date is 2011-01-16.
Thomas Edison Jordan's current location address is 197 Ridge Rd, Jupiter, Florida. You can contact this provider via phone number 5613397205 and fax number 5617467297. The mailing address for Thomas Edison Jordan is 197 Ridge Rd, Jupiter, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Edison Jordan |
|---|---|
| Address | 197 Ridge Rd, Jupiter, Florida |
| Phone Number | 5613397205 |
| Fax Number | 5617467297 |
| Sole Proprietor | Y |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1831192293 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2011-01-16 |
Provider Mailing Address Detail
| Address | 197 Ridge Rd |
|---|---|
| City | Jupiter |
| State | Florida (FL) |
| Post Code | 3347796600 |
| Phone Number | 5613397205 |
| Fax Number | 5617467297 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME59988 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 266699500 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas Edison Jordan by the Centers for Medicare & Medicaid Services?
The Thomas Edison Jordan has been issued the NPI (National Provider Identifier) 1831192293, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas Edison Jordan is geographically located?
The Thomas Edison Jordan is physically situated at the following location: 197 Ridge Rd, Jupiter, FL, 3347796600.
What is Thomas Edison Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Edison Jordan's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831192293 to Thomas Edison Jordan?
The Thomas Edison Jordan received its 1831192293 assignment from the Centers for Medicare & Medicaid Services on 2005-05-31.
As of what date were the Thomas Edison Jordan's details last updated?
The information pertaining to the Thomas Edison Jordan, including its address, specialty, and other details, was most recently updated on 2011-01-16.