Christopher A. Jordan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD-12236 Issued in HI

Practice address

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098

Phone

(808) 245-1505

Fax

(808) 246-1365

NPI assigned

Sep 13, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Kauai Medical Clinic

  • Multi-Specialty Clinic/Center
  • Lihue, HI
  • NPI 1376596643
  NPD
• Kauai Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Koloa, HI
  • NPI 1871611558
  NPD
• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  NPD (past)
• Proliance Surgeons Inc P S

  • Surgery Physician
  • Tacoma, WA
  • NPI 1164461018
  NPD (past)
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1851496012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HIGHWAY",
            "address_2": "SUITE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-245-1505",
            "fax_number": "808-246-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "address_2": "SUITE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-245-1505",
            "fax_number": "808-246-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-12236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Roby Johnson, LCSW
• Terrie Johnson, PA
• Michael D. Johnston, M.D.
• Jon W. Nakamura, M.D., Inc.
• Jessica Grandinetti Jones
• Uakea Jose, LMSW
• Joseph H. Chu, DDS, LTD.
• Ruth Andra Joyce-Higa
• Madelyn Juliano, CNA
• Lisa Kahn Macko

• Surgery Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.