JORDAN PHYSICIAN ASSOCIATES INC. NPI 1538145131

NPI Information

  • NPI: 1538145131
  • Provider Name: JORDAN PHYSICIAN ASSOCIATES, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 22D0080126
  • Address: 275 SANDWICH ST
    PLYMOUTH, MA
    ZIP 02360
  • Phone: (508) 830-2401

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NPI Details

JORDAN PHYSICIAN ASSOCIATES, INC. is a family medicine in Plymouth, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JORDAN PHYSICIAN ASSOCIATES, INC. NPI is 1538145131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

275 SANDWICH ST
PLYMOUTH, MA
ZIP 02360-183
Phone: (508) 830-2401
Fax: (508) 830-1131

The provider's authorized official is Kevin Coughlin .
The authorized official title is President and has the following contact phone number (508) 746-2000.

The CLIA number assigned to this NPI record is 22D0080126 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 12/15/2021.

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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207V00000XObstetrics & GynecologyNo
52085R0202XRadiologyDiagnostic RadiologyNo
62085U0001XRadiologyDiagnostic UltrasoundNo
7208600000XSurgeryNo
82086S0129XSurgeryVascular SurgeryNo
9363LA2200XNurse PractitionerAdult HealthNo
10363LF0000XNurse PractitionerFamilyNo

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
1602198OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2M15987OTHERMASSACHUSETTSBCBSMA
3110072193AMEDICAIDMASSACHUSETTS
4AA229234OTHERMASSACHUSETTSHARVARD PILGRIM HEALTHCARE

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: 11/21/2025

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