Individual provider Active NPI

Stephen Jordan, MD

  • Internal Medicine Physician
  • New London, NH
National Provider Identifier
1356435283
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5183 Issued in NH
Practice address
273 County Rd
New London, NH 03257-5736
Phone
(603) 526-5544
Fax
(603) 526-5085
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5183 NH Primary

Addresses

Primary practice location

273 County Rd
New London, NH 03257-5736

Mailing address

PO Box 2150
New London, NH 03257-2150
Phone (603) 526-5167

Other identifiers 1

IdentifierTypeStateIssuer
82113970MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20050620000994 NH Practitioner - Internal Medicine 0749225852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5183NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. CurrentSince Apr 30, 2003 Accepting new patients
The New London Hospital Association, Inc. Internal Medicine CurrentSince Oct 19, 2014 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Interoperability endpoints

  • Direct secure messaging: sjordan402434@direct.dartmouth-hitchcock.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1356435283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572150",
            "telephone_number": "603-526-5167",
            "fax_number": "603-526-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575736",
            "telephone_number": "603-526-5544",
            "fax_number": "603-526-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "5183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82113970",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.