William L. Jordan MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

048252 Issued in MI

Legal business name

WILLIAM L. JORDAN MD PC

Practice address

12900 W 9 Mile Rd
Oak Park, MI 48237-2990

Phone

(248) 547-9292

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Luke Jordan, M.D.NPI 1497744932

Title

Owner/President

Phone

(248) 547-9292

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• William Luke Jordan, M.D.

  • Obstetrics & Gynecology Physician
  • Oak Park, MI
  • NPI 1497744932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1306094065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370353",
            "telephone_number": "248-547-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372990",
            "telephone_number": "248-547-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. JORDAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-547-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "048252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4352155 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1606306732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth White
• Patricia White, LMSW
• Stephen Wayne White, R.N.
• Kathryn Elizabeth Whitlock, ATR-BC, LPC, CCTP-II
• Ariel Wilcher
• Williams Counseling
• Arthur E Williams II, D.D.S.
• Angel Victoria Williams
• Chantele Williams, BCBA
• Latrese Williams

• Specialist in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.