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Contact Information

WILLIAM P JORDAN MD FACS
175 EAST BROWN STREET SUITE 107 BUILDING 1
EAST STROUDSBURG, PA18301
 Phone: 570-421-8948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM P JORDAN MD FACS

NPI Number 1306038625
LBN Legal business name WILLIAM P JORDAN MD FACS
Authorized official WILLIAM JORDAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2007
Last updated 04/20/2008 - About 18 years ago
Identifiers
PA License # MD030238L
PA Medicaid 0006431270001
Other 076889 BCBS
Other 1626362 BCBS
Other P018087 CHAMPUS
Other 073897 FIRST PRIORITY
Other 6000863 GHI
Other 2Y9564 HEALTHNET
Other P1262402 OXFORD
Other 10929414 UNITED HEALTHCARE
PA Other 0061042 ETNA
PA Other 73907 UNISON
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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