Provider Type Icon

PHILLIP JORDAN NPI 1801327812


NPI Information

NPI: 1801327812
Provider Name: PHILLIP JORDAN
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: EMERGENCY PHYSICIANS OF TIDEWATER

PECOS Registration: Yes

Address:
600 GRESHAM DR
RALEIGH BUILDING, SUITE 304
NORFOLK, VA
ZIP 23507
Phone: (757) 388-3397
Get Directions

Phillip Jordan is an emergency medicine in Norfolk, VA with 7 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Phillip Jordan NPI is 1801327812. 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:

600 GRESHAM DR
RALEIGH BUILDING, SUITE 304
NORFOLK, VA
ZIP 23507-904
Phone: (757) 388-3397
Fax: (757) 388-2885

The NPI 1801327812 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 3/22/2017 and was last updated on 6/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine0101269116VIRGINIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.