Reed Maurice Jordan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110840364 Issued in VA

Practice address

127 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 23604

Phone

(757) 314-7500

NPI assigned

Feb 27, 2006

Last updated

May 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1053387332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PARCHMENT BLVD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855679",
            "telephone_number": "757-564-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "23604",
            "telephone_number": "757-314-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "REED",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Allen Johnson, D.M.D.
• Sadie Heather Johnson, PTA
• Brian M Jones, PHARM.D.
• Nicholas Andrew Jones, PA-C
• Rebecca T Jones, PHARM.D.
• Ruth Jordan
• Dennis John Kantanen, DDS
• Shaifali Kaushik, M.D.
• Scott A Kavan, PA-C
• Rebecca Wolfe Keller, LCSW

• Physician Assistant in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.