David Willis Jordan, CRNA is a
Nurse Anesthetist, Certified Registered based in Iola, Kansas. David Willis Jordan is licensed to practice in Kansas (license number 54054) and his current practice location is
101 South First Street, Iola, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 365-1000.
NPI number for David Willis Jordan is 1083684559 and his current mailing address is Po Box 388, Newton, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083684559.
Provider's Profile
| Full Name | David Willis Jordan |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 101 South First Street, Iola, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083684559
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 05/12/2011
Medical Identifiers
Medical identifiers for David Willis Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083684559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54054 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Willis Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Willis Jordan, CRNA
Po Box 388,
Newton, KS 67114-0388
Ph: (316) 281-3700 | David Willis Jordan, CRNA
101 South First Street,
Iola, KS 66749
Ph: (620) 365-1000 |
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