William P Jordan MD Facs

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD030238L Issued in PA

Legal business name

WILLIAM P JORDAN MD FACS

Practice address

175 East Brown Street Suite 107 Building 1
East Stroudsburg, PA 18301

Phone

(570) 421-8948

NPI assigned

Aug 10, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Peter Jordan, MD

Title

Physician

Phone

(570) 421-8948

Specialties & licenses 1

Addresses

Other identifiers 11

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306038625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EAST BROWN STREET",
            "address_2": "SUITE 107 BUILDING 1",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-8948",
            "fax_number": "570-424-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EAST BROWN STREET SUITE 107 BUILDING 1",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P JORDAN MD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-421-8948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD030238L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "073897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1262402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6000863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "73907",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006431270001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Y9564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "076889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "10929414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1626362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "P018087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETNA",
            "identifier": "0061042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Wheatley, PA-C
• Wendy N Wheeler, MS, ATC, CSCS
• Keiara Monique Whetstone
• Marshall Evans Whittington, CRNA
• Jordyn Wigglesworth
• Alison Williams-Blount, CRNP
• Alexanne Autumn Williams
• Allister R. Williams, M.D.
• Christiana E Williams, MS, RD
• Harriet Jean Williams, MD SPEAICAL ED

• Surgery Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.