Individual provider Active NPI

David Lee Jordan, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1144326067
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D58591 Issued in MD
Practice address
1420 Key Hwy Ste 400
Baltimore, MD 21230-5546
Phone
(410) 230-7848
Fax
(410) 230-7834
NPI assigned
Sep 16, 2006
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D58591 MD Primary

Addresses

Primary practice location

1420 Key Hwy Ste 400
Baltimore, MD 21230-5546

Mailing address

1420 Key Hwy Ste 400
Baltimore, MD 21230-5546
Phone (410) 230-7848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D58591MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates LTD. Anesthesiology Past Accepting new patients
Hanover Anesthesia, LLC Pain Medicine PastSince Jun 1, 2004 Accepting new patients
Chevy Chase Anesthesia LLC Anesthesiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mid Atlantic Pain Management, LLC Anesthesiology PastSince Sep 15, 2014 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1144326067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KEY HWY STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305546",
            "telephone_number": "410-230-7848",
            "fax_number": "410-230-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KEY HWY STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305546",
            "telephone_number": "410-230-7848",
            "fax_number": "410-230-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D58591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.