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JACOB JORDAN M.D. NPI 1417048554


NPI Information

NPI: 1417048554
Provider Name: JACOB JORDAN, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
2335 TAMIAMI TRAIL N.
SUITE 501
NAPLES, FL
ZIP 34103
Phone: (239) 263-0011
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Jacob Jordan, M.D. is a surgery in Naples, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jacob Jordan, M.D. NPI is 1417048554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2335 TAMIAMI TRAIL N.
SUITE 501
NAPLES, FL
ZIP 34103-456
Phone: (239) 263-0011
Fax: (239) 430-7823

The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/6/2017.


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
1208600000XSurgeryME0047319FLORIDAYes

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
108461OTHERFLORIDABCBS
2057907600MEDICAIDFLORIDA
308461VMEDICARE PINFLORIDA
4292168OTHERFLORIDAAVMED
5E22491MEDICARE UPINFLORIDA
608461MEDICARE PINFLORIDA
7P00877422OTHERFLORIDARR MEDICARE
85954082OTHERFLORIDAAETNA
9201912OTHERFLORIDAWELLCARE
10P953733OTHERFLORIDAOPTIMUM
11QMP000005106623OTHERFLORIDAMOLINA
12P305081OTHERFLORIDAFREEDOM

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.