William R. Jordan, M.D., LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

WILLIAM R. JORDAN, M.D., LLC

Practice address

1212 7TH Ave Ste B
Phenix City, AL 36867-5805

Phone

(334) 297-7790

Fax

(334) 297-7127

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William Richie Jordan, M.D.

Title

Physician-Owner

Phone

(334) 297-7790

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1689922205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 7TH AVE STE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675805",
            "telephone_number": "334-297-7790",
            "fax_number": "334-297-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 7TH AVE STE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675805",
            "telephone_number": "334-297-7790",
            "fax_number": "334-297-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. JORDAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHIE",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "334-297-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790768646",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela J White, FNP
• Asia Monique White
• Jackie White, LPC
• Jennifer Marie Widener, MCD, CCC-SLP
• Ariel Lynn Willette
• Kelsey Williams, PTA
• Marshall Williams, MD
• Natalie Williams
• Elizabeth Wilson
• Pamela Wilson

• Gynecology Physician in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.