Organization Active NPI

Kathleen Jordan MD PC

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1013592393
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KATHLEEN JORDAN MD PC
Practice address
1500 Mission St
San Francisco, CA 94103-2513
Phone
(332) 203-0933
NPI assigned
Mar 17, 2021
Organization subpart
Yes
Parent organization
KATHLEEN JORDAN MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tom Barnes
Title
VP, Payer Strategy & Revenue Cycle
Phone
(973) 943-0967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

1500 Mission St
San Francisco, CA 94103-2513

Mailing address

30 E 23Rd St Ste 700
New York, NY 10010-4408
Phone (332) 203-0933

Other names 1

  • Tia MH URL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kathleen Jordan MD PC5 organizations share this tax ID, including this one
Part of
Kathleen Jordan MD PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30 E 23rd St
Ste 700
New York, NY 10010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1013592393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST STE 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104408",
            "telephone_number": "332-203-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032513",
            "telephone_number": "332-203-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN JORDAN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHLEEN JORDAN MD PC",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "VP, PAYER STRATEGY & REVENUE CYCLE",
        "authorized_official_telephone_number": "973-943-0967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tia MH URL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tia MH URL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.