Raymond F Jordan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J0842 Issued in TX

Practice address

103 N Main St
Lindale, TX 75771-3115

Phone

(903) 882-3194

Fax

(903) 882-7405

NPI assigned

Jul 11, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phynet, Inc.

  • Family Medicine Physician
  • Longview, TX
  • NPI 1144245176
  Medicare reassignment NPD
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• East Texas Medical Center Mount Vernon

  • General Acute Care Hospital
  • Mount Vernon, TX
  • NPI 1194807438
  NPD (past)
• East Texas Medical Center Quitman

  • Critical Access Hospital
  • Quitman, TX
  • NPI 1396748430
  NPD (past)
• East Texas Medical Center Quitman

  • Rural Health Clinic/Center
  • Grand Saline, TX
  • NPI 1447615943
  NPD (past)
• Panola Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Carthage, TX
  • NPI 1356387989
  NPD (past)
• Phynet, Inc.

  • Health Service Clinic/Center
  • Gladewater, TX
  • NPI 1912174111
  NPD (past)
• Sabine County Hospital District

  • General Acute Care Hospital
  • Hemphill, TX
  • NPI 1508862921
  NPD (past)
• Shelby Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Center, TX
  • NPI 1063522399
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1104851096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484",
            "fax_number": "903-247-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757713115",
            "telephone_number": "903-882-3194",
            "fax_number": "903-882-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "RAYMOND",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icon Medical Solutions Inc.
• In-Hale LLC
• Elizabeth Anne Johnson
• Jessica Renee Johnson, NP-C
• Raul Johnson III, DVM
• K Kids Therapy
• Kathryn D. Ketter
• Baron Clay Keith, D.D.S.
• Miranda Kerby
• Kathryn D. Ketter Dba Snider Adult Foster Care

• Family Medicine Physician in Lindale, TX
• Providers in Lindale, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.