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CARL DANIEL JORDAN DO NPI 1194921452


NPI Information

NPI: 1194921452
Provider Name: CARL DANIEL JORDAN, DO
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 CROWN POINTE BLVD
WILLOW PARK, TX
ZIP 76087
Phone: (817) 757-1675
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Carl Daniel Jordan, DO is a surgery in Willow Park, TX with 17 years of experience. 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. Carl Daniel Jordan, DO NPI is 1194921452. 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:

101 CROWN POINTE BLVD
WILLOW PARK, TX
ZIP 76087-191
Phone: (817) 757-1675
Fax: (817) 757-1676

The NPI 1194921452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

The enumeration date for this NPI number is 6/25/2007 and was last updated on 1/9/2020.


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
1208600000XSurgeryP1774TEXASYes

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

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