Individual provider Active NPI

John Jordan

  • Critical Care Medicine (Internal Medicine) Physician
  • Akron, OH
National Provider Identifier
1720449531
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
34.015698 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-7474
NPI assigned
Mar 8, 2016
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015698 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 34.015698 OH Primary
Hospitalist Physician 208M00000X OS019541 PA

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

75 Arch St
Akron, OH 44304-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220901001458 OH Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2062756646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015698OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Multi-Specialty Current Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Multi-Specialty CurrentSince Mar 16, 2023 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC Multi-Specialty CurrentSince Jan 5, 2025 Accepting new patients
Summa Physicians LLC Multi-Specialty CurrentSince Jul 25, 2022 Accepting new patients
Summa Physicians LLC Multi-Specialty CurrentSince Jul 25, 2022 Accepting new patients
Summa Health System Multi-Specialty Past Accepting new patients
Aultman Hospital Past Accepting new patients

Locations

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

2600 6th St SW
Ste A2
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Ste A2800
Canton, OH 44710

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1720449531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ARCH ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015698",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "34.015698",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS019541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.