Michael Andrew Jordan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

65545 Issued in MN

Practice address

825 Nicollet Mall Ste 2000
Minneapolis, MN 55402-2708

Phone

(612) 338-4861

Fax

(612) 333-8306

NPI assigned

Apr 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Eye Care Associates PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1205943214
  Medicare reassignment NPD
• Eye Care Associates PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1710906979
  NPD
• Eye Care Associates, PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1194290486
  NPD

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1861889776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 2000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022708",
            "telephone_number": "612-338-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 2000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022708",
            "telephone_number": "612-338-4861",
            "fax_number": "612-333-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_2": "Hennepin County Medical Center TY Residency",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "701-367-6181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Delaware Street SE,",
            "address_2": "MMC 493",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55406",
            "country_code": "US",
            "telephone_number": "701-367-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-07-01",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "MN",
            "license": "65545",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "65545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhio Mohamud Jordan
• Julia Jordan, PSY.D., L.P.
• Leah Michele Krause Jordan, MD
• Mary Jordan, CPNP
• Matt Jordan
• Zane Jorgens, RN
• Bryce Jorgensen, DO
• Diane Marie Jorgensen, LICSW
• Hannah Marie Jorgensen, PA-C
• Kristin Leigh Jorgensen, LICSW

• Ophthalmology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.