Lili A Jordan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35143 Issued in AZ

Practice address

225 W Irvington Rd
Tucson, AZ 85714

Phone

(520) 884-7304

Fax

(520) 623-0992

NPI assigned

Apr 8, 2006

Sex

Female

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

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 Medicine

State licenses

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.

• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Advanced Fertility Care, PLLC

  • Reproductive Endocrinology Physician
  • Scottsdale, AZ
  • NPI 1114929205
  NPD (past)
• El Rio Santa Cruz Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1528487782
  NPD (past)
• North Coast Faculty Medical Group Inc

  • Otolaryngology Physician
  • Sebastopol, CA
  • NPI 1750616512
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235192501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-670-3809",
            "fax_number": "520-884-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-884-7304",
            "fax_number": "520-623-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LILI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "35143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077495",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Ann Jordahl-Iafrato, MD
• Brianna Jordan, P.T., D.P.T.
• Joseph Dedrick Jordan, M.D., PH.D.
• Katherine Marie Jordan, LMSW
• Kendall Jordan, LCSW
• Michelle Annette Jordan, LMSW
• Moreen Jordan
• Nightingale Jordan, FNP-C
• Talana Jordan
• Troy Jordan

• Obstetrics & Gynecology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.