WILLIAM MCCALL JORDAN DO NPI 1306898028

NPI Information

NPI: 1306898028
Provider Name: WILLIAM MCCALL JORDAN, DO
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 507-4000
Get Directions

William Mccall Jordan, DO is a medical oncology internal medicine in Pagosa Springs, CO with 51 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. William Mccall Jordan, DO NPI is 1306898028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
ZIP 81147-329
Phone: (970) 507-4000
Fax: (970) 731-1988

The NPI 1306898028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 5/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	DR.0043185	COLORADO	No
2	207RX0202X	Internal Medicine	Medical Oncology	E1345	TEXAS	Yes
3	207RH0003X	Internal Medicine	Hematology & Oncology	E1345	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8EF216	OTHER	TEXAS	BCBS
2	1319550-02	MEDICAID	TEXAS
3	1319550-08	MEDICAID	TEXAS
4	131955009	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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