Frank Thomas Jordan, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5687 Issued in NV

Practice address

7200 W Cathedral Rock Dr
Ste #130
Las Vegas, NV 89128

Phone

(702) 228-8600

Fax

(702) 228-8689

NPI assigned

Oct 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• St. Tammany Parish Fire Protection District No 4

  • Land Ambulance
  • Mandeville, LA
  • NPI 1720205537
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1104913656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W CATHEDRAL ROCK DR",
            "address_2": "STE #130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-228-8600",
            "fax_number": "702-228-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W CATHEDRAL ROCK DR",
            "address_2": "STE #130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-228-8600",
            "fax_number": "702-228-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "FRANK",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "5687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002576",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawnesha Jordan
• Deandre Jordan
• Donna Jordan, M. ED.
• Enid Marie Jordan
• Evangeline Fulgencio Jordan
• Freya Jordan, BCBA
• Hattie M Jordan
• Jahliyah Jordan
• Janet Kay Jordan, RN
• Janet L Jordan, HIS

• All providers in Las Vegas, NV
• Vascular Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.