Active NPI
Tamera B Jordan, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1649288556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34494
- Practice address
- 301 W McDowell Road
Phoenix, AZ 85006 - Phone
- (602) 257-8070
- Fax
- (602) 257-8029
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34494 | AZ | Primary |
Addresses
Primary practice location
301 W McDowell Road
Phoenix, AZ 85006
Mailing address
301 W McDowell Road
Phoenix, AZ 85003
Phone (602) 257-8070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5796874 | Other | AZ | CIGNA |
| 984155 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- tamera.jordan.1@31800.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1649288556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W MCDOWELL ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85003",
"telephone_number": "602-257-8070",
"fax_number": "602-257-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MCDOWELL ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-257-8070",
"fax_number": "602-257-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TAMERA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "34494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5796874",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "984155",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.