NPIMap

Individual provider Active NPI

Theodore Foster Jordan III, MD

  • Orthopaedic Surgery Physician
  • Natchitoches, LA
National Provider Identifier
1528067915
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.323324 Issued in LA
Practice address
601 Keyser Ave
Natchitoches, LA 71457-6020
Phone
(318) 214-5770
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NRMC Physician Ipa Inc 30 clinicians

Practice addresses (Care Compare)

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4401

Hospital & facility affiliations

  • Lagniappe Homecare Northwest Louisiana Home health agency, Natchitoches, LA, CCN 197478
  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200701000309 LA Practitioner - Orthopedic Surgery 3274445515 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.323324LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NRMC Physician Ipa Inc CurrentSince Jul 1, 2020 Accepting new patients
NRMC Physician Ipa Inc CurrentSince Jul 1, 2020 Accepting new patients
NRMC Physician Ipa Inc Current Accepting new patients
NRMC Physician Ipa Inc Past Accepting new patients
Advanced Orthopedics, PLLC Orthopaedic Surgery PastSince Nov 1, 2003 Accepting new patients

Locations

601 Keyser Ave
Ste D
Natchitoches, LA 71457

601 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

Interoperability endpoints

  • Direct secure messaging: theodore.jordan@direct.la-hie.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.323324 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

601 Keyser Ave
Natchitoches, LA 71457-6020

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 663-6131

Other practice location 1

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-5770

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00125687MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2020.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1528067915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-663-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576020",
            "telephone_number": "318-214-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Keyser Ave",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714576018",
            "country_code": "US",
            "telephone_number": "318-214-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "THEODORE",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.323324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125687",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.