NPIMap

Individual provider Active NPI

Thomas W. Jordan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dickson City, PA
National Provider Identifier
1508023086
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD451647 Issued in PA
Practice address
334 Main St
Dickson City, PA 18519-1668
Phone
(570) 307-1767
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD451647 PA Primary
Orthopaedic Surgery Physician 207X00000X 0116021141 VA
Orthopaedic Surgery Physician 207X00000X MD451647 PA

Addresses

Primary practice location

334 Main St
Dickson City, PA 18519-1668

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1250 S Cedar Crest Blvd
Allentown, PA 18103-6224
Phone (610) 402-8900

Other identifiers 2

IdentifierTypeStateIssuer
1508023086OtherPANPI
MD451647OtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609000369 PA Practitioner - Orthopedic Surgery 1951525229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1250 S Cedar Crest Blvd
110 LVPG Orthopedics and Sports Medicine
Allentown, PA 18103-6224
Phone (610) 402-8900

Hospital & facility affiliations

  • Comprehensive Medical Home Care Home health agency, Dupont, PA, CCN 397626
  • Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement30
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451647PAMDOrthopaedic Surgery Physician
0116021141VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 17, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 11, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 17, 2022 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Hazleton Professional Services CurrentSince Nov 11, 2022 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

1250 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-8420

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

26 Station Cir
Hazleton, PA 18202
Phone (570) 861-8710

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

100 Hospital Dr
Montrose, PA 18801
Phone (570) 278-3801

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

Interoperability endpoints

  • Direct secure messaging: tjordan422265@direct2.lvhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1508023086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "THOMAS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD451647",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0116021141",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD451647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508023086",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD451647",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.