| Dr Wade Thomas Jordan, MD | |
|
1911 S National Ave, Suite 301, Springfield, MO 65804-2219 | |
| (417) 886-5000 | |
| (417) 886-1100 |
| Full Name | Dr Wade Thomas Jordan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1911 S National Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326135781 | NPI | - | NPPES |
| 122036001 | Medicaid | AR | |
| 390003925 | Other | RAILROAD MEDICARE | |
| 203047915 | Medicaid | MO | |
| 153509 | Other | HEALTHLINK | |
| 25183 | Other | MO | BLUE CROSS BLUE SHIELD |
| 002012599 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | R4P99 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wade Thomas Jordan, MD 1911 S National Ave, Suite 301, Springfield, MO 65804-2219 Ph: (417) 886-5000 | Dr Wade Thomas Jordan, MD 1911 S National Ave, Suite 301, Springfield, MO 65804-2219 Ph: (417) 886-5000 |
Dr. Mark H. Grimm, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |