Matthias Joseph Jordan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25273 Issued in MN

Practice address

114 W 3Rd St
Suite 100
Monticello, MN 55362-8791

Phone

(763) 295-8826

Fax

(763) 295-1900

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jordan Medical P.a.

  • Internal Medicine Physician
  • St. Michael, MN
  • NPI 1629373782
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1336118363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7266 COUNTY ROAD 37 NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763007",
            "telephone_number": "763-295-4789",
            "fax_number": "763-295-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628791",
            "telephone_number": "763-295-8826",
            "fax_number": "763-295-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MATTHIAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "25273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322877100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonas Johnson, DC
• Lance Johnson, LPCC
• Susan L Johnson, MD
• William Eric Johnson
• Kathleen Jones
• JRL Consulting LLC
• Kyle Jussila
• Christopher Kaplan
• Mark Kassebaum, MD
• Kelsey Marie Keil, MSW, LICSW

• Internal Medicine Physician in Monticello, MN
• Providers in Monticello, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.