Khadijah Y. Jordan, MD.,PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101052592 Issued in VA

Legal business name

KHADIJAH Y. JORDAN, MD.,PC

Practice address

111 Medical Pkwy
Suite 202
Chesapeake, VA 23320-0302

Phone

(757) 436-2424

Fax

(757) 436-6628

NPI assigned

Aug 24, 2006

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khadijah Y Jordan, M.D.NPI 1528022688

Title

President

Phone

(757) 436-2424

Specialties & licenses 1

Addresses

Other identifiers 5

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khadijah Yasin Jordan, M.D.

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
  • NPI 1528022688
  Authorized official Same address or phone
• Michael P Grimes, MD

  • Obstetrics Physician
  • Chesapeake, VA
  • NPI 1104083971
  NPD (past)
• Melissa Anglero, DO

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
  • NPI 1063674919
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1912014093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-436-2424",
            "fax_number": "757-436-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-436-2424",
            "fax_number": "757-436-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADIJAH Y. JORDAN, MD.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-436-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101052592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010202531",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "178986",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "24104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5025116",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2133107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Raymond Keverline, MD
• Kevin C Cooper DDS PC
• Kevin D. Jennings DDS, LLC
• Alan Keyes, M.D., F.A.C.S.
• Andria Keyser Baker, DPT
• Rana J Khan, MD
• Rebecca Thibodeau Khan, MD
• Adelaide Kier, PA-C
• Kiernan Speech Therapy LLC (Shore Therapy Group)
• Alyssa Kiernan, M.S. CCC-SLP

• Obstetrics & Gynecology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.