Laurie O'Daniel Jordan, RPH, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30394 Issued in NC

Practice address

2000 Neuse Blvd
New Bern, NC 28560-3449

Phone

(252) 633-8111

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Specialty

Anesthesiology

Education

University of North Carolina at Chapel Hill School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Anesthesiology Consultants PLLCGroup PAC ID 7719959873, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131
• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Registered Pharmacist

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ljordan21695@carolinaeastmc.direct-ci.com

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.

• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1538124201
  Medicare reassignment Care Compare group NPD
• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  Medicare reassignment NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Anesthesiology

  NPD
• American Anesthesiology of North Carolina, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Wake Forest, NC
  • NPI 1942248547
  NPD
• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1932402195
  NPD

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

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835
  Care Compare affiliation
• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1629009261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W WILSON CREEK DR",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627540",
            "telephone_number": "252-636-5509",
            "fax_number": "252-636-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Brightleaf Boulevard",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "27577",
            "country_code": "US",
            "telephone_number": "919-934-8171",
            "fax_number": "919-938-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LAURIE",
        "middle_name": "O'DANIEL",
        "name_prefix": "Dr.",
        "credential": "RPH, M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "30394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947184",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Mitchell Jones, SLP
• Leslie Leigh Jones, LCSW
• Naja Jones
• Jennifer Jordan
• Kristen Moore Jordan, PA-C, LAT, ATC
• Tracey Jordan, PHARMD
• Karen Elaine Joseph, MS
• Thomas Stephen Joseph, AUD
• Ronnie Stephen Joyner, M.D.
• Tyrel Judson

• Anesthesiology Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.