Patricia Ann Jordan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01033982 Issued in IN

Practice address

6349 University Commons
South Bend, IN 46635-1475

Phone

(574) 968-7425

Fax

(574) 968-0390

NPI assigned

Jul 12, 2005

Last updated

Sep 15, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Beacon Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1831149525
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1700884897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 UNIVERSITY COMMONS",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351475",
            "telephone_number": "574-968-7425",
            "fax_number": "574-968-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 UNIVERSITY COMMONS",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351475",
            "telephone_number": "574-968-7425",
            "fax_number": "574-968-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01033982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200133350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Marie Jones, O.D
• Lisa Gail Jones, BCBA
• Victor F Jones II, M.D.
• Hope C Jordan, DO
• Laura Lynn Jordan, RD, CD
• Toriyona Jordan, RBT
• Abigail Jorgensen, CD-L(PRODOULA)
• Joseph W Cochran DDS PC
• Jennifer Lee Joyce
• Thomas P Judd, DDS

• Family Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.