Sheldon Jordan, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

5901 Indian School Rd NE Ste 208
Albuquerque, NM 87110-5200

Phone

(855) 385-5246

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peptineo LLC

  • Clinical Medical Laboratory
  • Albuquerque, NM
  • NPI 1114501707
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1669041737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 INDIAN SCHOOL RD NE STE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105200",
            "telephone_number": "855-385-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 INDIAN SCHOOL RD NE STE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105200",
            "telephone_number": "855-385-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth Jordan, MD
• Jesus Jordan
• Jody Lea Jordan, MD
• Julia Ann Jordan, PT
• Rosalie Adam Jordan, MA RN LPCC
• Therese Ann Jordan, LISW
• Jan Emmanuel Anthony Empleo Jorgio
• Ingrid Jorud, MS, RD, LD, CPT
• Jose Guzman RDN LLC (Viva Real Renal Care)
• Clement Jose, MD

• Clinical Laboratory Director (Non-physician) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Laboratory Director (Non-physician) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.