Individual provider Active NPI

Sean Wilhere Jordan, MD

  • Family Medicine Physician
  • Radnor, PA
National Provider Identifier
1114677135
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD490752 Issued in PA
Practice address
145 King of Prussia Road
Suite 301 North
Radnor, PA 19087-4557
Phone
(610) 902-2450
Fax
(610) 902-2466
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD490752 PA Primary

Addresses

Primary practice location

145 King of Prussia Road
Suite 301 North
Radnor, PA 19087-4557

Mailing address

145 King of Prussia Road
Suite 301 North
Radnor, PA 19087-4557
Phone (610) 902-2450

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.pennmedicine.org/departments-and-centers/family-medicine-and-community-health Hospital of the University of Pennsylvania

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20220628000032 PA Order and Referring Only - Family PracticePractitioner - Family Practice 6305225905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD490752PAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1114677135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KING OF PRUSSIA ROAD",
            "address_2": "SUITE 301 NORTH",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874557",
            "telephone_number": "610-902-2450",
            "fax_number": "610-902-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KING OF PRUSSIA ROAD",
            "address_2": "SUITE 301 NORTH",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874557",
            "telephone_number": "610-902-2450",
            "fax_number": "610-902-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SEAN",
        "middle_name": "WILHERE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD490752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.pennmedicine.org/departments-and-centers/family-medicine-and-community-health",
            "affiliation": "Y",
            "affiliationName": "Hospital of the University of Pennsylvania",
            "address_1": "3400 Spruce St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191044238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Radnor, PA

Sources for this page

Verify at the official NPI Registry.