Jordan Developmental Pediatrics Pc

LBN: Jordan Developmental Pediatrics Pc
Jordan Developmental Pediatrics Pc is an health care organization with primary practice located at 21031 N Cave Creek Rd Ste F4, Phoenix AZ 85024-5525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as the primary health care specialty. Jordan Developmental Pediatrics Pc can be contacted via phone (602) 956-3141, or through Jordan, Timothy via phone (602) 956-3141.

Contact Information

Primary practice address
21031 N Cave Creek Rd Ste F4 Phoenix AZ 85024-5525
Phone: (602) 956-3141
Fax: (602) 795-1671
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Timothy Doctor of Medicine (MD)
Phone: (602) 956-3141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 26988 Arizona

Profile Details

NPI number 1649229394
LBN Legal business name Jordan Developmental Pediatrics Pc
DBA Doing business as
Authorized official Jordan, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Apr 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649229394 NPPES
Arizona MEDICAID 508658

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