Jordan Justice Harbaugh-Williams, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16015A Issued in WY

Practice address

14 Great Plains Rd
Arapahoe, WY 82510-9144

Phone

(307) 856-9281

NPI assigned

Apr 24, 2019

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Wind River Family and Community Healthc CareGroup PAC ID 1850683780, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sagewest Health Care Hospital, Riverton, WY, CCN 530008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jharbaugh@windrivercares.directbygreenway.com

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.

• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379

  TX

  Medicare reassignment Care Compare group NPD
• Riverton Memorial Hospital LLC

  dba SageWest Health Care

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  NPD (past)

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

• Riverton Memorial Hospital LLC

  dba SageWest Health Care

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1831753938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GREAT PLAINS RD",
            "city": "ARAPAHOE",
            "state": "WY",
            "postal_code": "825109144",
            "telephone_number": "307-856-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GREAT PLAINS RD",
            "city": "ARAPAHOE",
            "state": "WY",
            "postal_code": "825109144",
            "telephone_number": "307-856-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBAUGH-WILLIAMS",
        "first_name": "JORDAN",
        "middle_name": "JUSTICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "16015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Gardner, RN
• Mary Ann Gookin, FNP
• Steven Benjamin Goold, MS
• Tiffini Hackett, BSW
• Mary Frances Hailey
• Tamara M Harris Myers
• Emma Bianca Hatch, MSW, PCSW
• Carlos E Hernandez Moreno, MD
• Paige Laurel Huntsman, CAPA064
• Evelyn Jimenez

• Family Medicine Physician in Arapahoe, WY
• Providers in Arapahoe, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.