Jordan Taylor Ford, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

600 S Timberlane Dr
El Dorado, AR 71730-6990

Phone

(870) 862-2400

NPI assigned

Jan 2, 2023

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Kalousek Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hmdod LLCGroup PAC ID 2961837216, 7 clinicians

Sama Healthcare Services PAGroup PAC ID 0749177855, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jordanford@samahcspa.allscriptsdirect.net

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.

• Hmdod LLC

  dba SARC Eldorado

  • Cardiovascular Disease Physician
  • El Dorado, AR
  • NPI 1316580996
  Medicare reassignment Care Compare group
• Sama Healthcare Services, PA

  • Primary Care Clinic/Center
  • El Dorado, AR
  • NPI 1235290735
  Medicare reassignment Care Compare group
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • El Dorado, AR
  • NPI 1477119105
  NPD (past)
• Jaiarka LLC

  • Otolaryngology Physician
  • El Dorado, AR
  • NPI 1730844168
  NPD (past)

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1952014243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JORDAN",
        "middle_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "KALOUSEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Fitts, PSY. D.
• Flatiron Anesthesia, PLLC
• Jennifer C Flournoy
• Tenesha Flowers, LPN
• Elizabeth Ann Ford
• Marcia P Ford, APN CDE
• Rosaline O Fraser, MD
• Freds Stores of Tennessee Inc (Freds Pharmacy 1531)
• Ashley Fries, LPC
• Jed Frisby, D.C.

• Physician Assistant in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.