Edward F Jordan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1257921 Issued in NY

Practice address

516 Main St
Olean, NY 14760-1514

Phone

(716) 372-7600

Fax

(716) 372-9680

NPI assigned

Apr 12, 2006

Last updated

Feb 6, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward F Jordan MD PC

  • Internal Medicine Physician
  • Olean, NY
  • NPI 1578744215
  Authorized official Same address or phone
• Olean General Hospital

  • General Practice Physician
  • Bradford, PA
  • NPI 1649296781
  NPD
• Adam C. Wojciechowski, Rpa, P.C.

  • Physician Assistant
  • Cuba, NY
  • NPI 1013185263
  NPD (past)
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1871557587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601514",
            "telephone_number": "716-372-7600",
            "fax_number": "716-372-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601514",
            "telephone_number": "716-372-7600",
            "fax_number": "716-372-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1257921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Johnson
• Stacey Johnson
• Bluett Jones, MD
• Melody Jones
• Robert Lee Jones, MD
• Jonathan Jordan
• Tressa M Jordan, D. P. M,
• Brooke Kathryn Kane-Walker
• Aimee Kaple, NBCC, LPC, LMHC
• Rachel Karasek, PHARMD

• Internal Medicine Physician in Olean, NY
• Providers in Olean, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.