Louis Collier Jordan, MD | |
2428 Knob Creek Rd, Suite 201, Johnson City, TN 37604-2397 | |
(423) 282-5054 | |
(423) 283-0516 |
Full Name | Louis Collier Jordan |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2428 Knob Creek Rd, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902915135 | NPI | - | NPPES |
320315 | Other | VA | ANTHEM |
4017303 | Other | TN | BCBS |
89014AT | Medicaid | NC | |
890564P | Medicaid | NC | |
3373123 | Medicaid | TN | |
005867975 | Medicaid | VA | |
TN0103 | Other | TN | JDH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 11556 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Louis Collier Jordan, MD 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220 | Louis Collier Jordan, MD 2428 Knob Creek Rd, Suite 201, Johnson City, TN 37604-2397 Ph: (423) 282-5054 |
Dr. Alan Cox, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Robert Taylor Means Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Tariq Ziad Haddadin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
John M Daniel, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |