NPIMap

Organization Active NPI

Edward F Jordan MD PC

  • Internal Medicine Physician
  • Olean, NY
National Provider Identifier
1578744215
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125792 Issued in NY
Legal business name
EDWARD F JORDAN MD PC
Practice address
516 Main St
Olean, NY 14760-1514
Phone
(716) 372-7600
Fax
(716) 372-9680
NPI assigned
Nov 23, 2007
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Mr. Edward F Jordan, MDNPI 1871557587
Title
President
Phone
(716) 372-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125792 NY Primary
Medical Oncology Physician 207RX0202X 125792 NY

Addresses

Primary practice location

516 Main St
Olean, NY 14760-1514

Mailing address

516 Main St
Olean, NY 14760-1514
Phone (716) 372-7600

Other identifiers 1

IdentifierTypeStateIssuer
00722638MedicaidNY

National Provider Directory

National Provider Directory

Locations

516 Main St
Olean, NY 14760
Phone (716) 372-7600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1578744215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601514",
            "telephone_number": "716-372-7600",
            "fax_number": "716-372-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601514",
            "telephone_number": "716-372-7600",
            "fax_number": "716-372-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F JORDAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-372-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125792",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "125792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.