Juan C Yordan MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME98478 Issued in FL

Legal business name

JUAN C YORDAN MD PA

Practice address

929 N US Highway 441 Ste 102
Lady Lake, FL 32159-3002

Phone

(352) 633-0473

Fax

(352) 775-9562

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Juan Carlos Yordan, MDNPI 1366410268

Title

MD

Phone

(352) 633-0473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAEBBD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Yordan, M.D.

  • Family Medicine Physician
  • The Villages, FL
  • NPI 1366410268
  Medicare reassignment Care Compare group NPD Authorized official
• Tyler Lyall Hanson, PA-C

  • Medical Physician Assistant
  • Lady Lake, FL
  • NPI 1043031453
  Medicare reassignment Care Compare group
• Rosilvia Muniz Quiros, MD

  • General Practice Physician
  • Ocala, FL
  • NPI 1942280698
  Medicare reassignment NPD
• Veneiza Schwanke, ARNP-C

  • Adult Health Nurse Practitioner
  • Ocala, FL
  • NPI 1366634883
  Medicare reassignment NPD

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1184094690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3667",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344213667",
            "telephone_number": "352-633-0473",
            "fax_number": "352-775-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441 STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593002",
            "telephone_number": "352-633-0473",
            "fax_number": "352-775-9562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10261 SE 42nd Ter",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344206851",
            "country_code": "US",
            "telephone_number": "352-446-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUAN C YORDAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "YORDAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-633-0473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME98478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Nicole Johnson, ARNP
• Glendora Whitlow Johnson
• Mary Sue Johnson, ARNP-C
• Christopher Isaiah Jones, M.D.
• Jiby Joseph
• Julyan Homecare LLC
• Marilyn L Juricic, MD
• Sachin Shrinivas Kamath, M.D.
• Mark G Karpovck, DMD
• Keep Young Massage LLC

• Primary Care Clinic/Center in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.