DR. WADE THOMAS JORDAN M..D. NPI 1326135781

NPI Information

  • NPI: 1326135781
  • Provider Name: DR. WADE THOMAS JORDAN, M..D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 1911 S NATIONAL AVE
    SUITE 301
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 886-5000

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NPI Details

DR. Wade Thomas Jordan, M..D. is a nephrology internal medicine in Springfield, MO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Wade Thomas Jordan, M..D. NPI is 1326135781. 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:

1911 S NATIONAL AVE
SUITE 301
SPRINGFIELD, MO
ZIP 65804-219
Phone: (417) 886-5000
Fax: (417) 886-1100

The enumeration date for this NPI number is 10/6/2006 and was last updated on 12/1/2009.

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
1207RN0300XInternal MedicineNephrologyR4P99MISSOURIYes

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
1C17628MEDICARE UPIN
2002012599OTHERMISSOURIMEDICARE PTAN
3122036001MEDICAIDARKANSAS
4153509OTHERHEALTHLINK
5203047915MEDICAIDMISSOURI
6390003925OTHERRAILROAD MEDICARE
725183OTHERMISSOURIBLUE CROSS BLUE SHIELD

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: 3/30/2025

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