Dr Roger Wayne Jordan Jr, MD | |
200 1st St Sw, Rochester, MN 55905-0001 | |
(507) 284-2511 | |
(000) 000-0000 |
Full Name | Dr Roger Wayne Jordan Jr |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 200 1st St Sw, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073992566 | NPI | - | NPPES |
BP10052905 | Other | TX | TEXAS MEDICAL BOARD PHYCIAN-IN-TRAINING PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 66463 (Minnesota) | Primary |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | West Hernando Diagnostic And Mr Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831183607 PECOS PAC ID: 4880653195 Enrollment ID: O20060808000086 |
Entity Name | Ohri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Tanner Henrie, Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Philippe Couillard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702 | |
Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |