DR. TIMOTHY J JORDAN MD NPI 1164524047

NPI Information

NPI: 1164524047
Provider Name: DR. TIMOTHY J JORDAN, MD
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
444 CHESTERFIELD CENTER
SUITE 205
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 530-1883
Get Directions

DR. Timothy J Jordan, MD is a developmental - behavioral pediatrics pediatrics in Chesterfield, MO. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. DR. Timothy J Jordan, MD NPI is 1164524047. 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:

444 CHESTERFIELD CENTER
SUITE 205
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 530-1883
Fax: (636) 530-0039

The enumeration date for this NPI number is 9/2/2006 and was last updated on 7/8/2007.

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	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	36290	MISSOURI	Yes

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	AJ1818016	OTHER	MISSOURI	DEA

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

NPI Synchronization or Removal

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