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RICHARD MONTGOMERY JORDAN MD NPI 1821075508


NPI Information

NPI: 1821075508
Provider Name: RICHARD MONTGOMERY JORDAN, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
620 SUMMIT CROSSING PL
SUITE 106
GASTONIA, NC
ZIP 28054
Phone: (704) 867-8021
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Richard Montgomery Jordan, MD is a vascular and interventional radiology radiology in Gastonia, NC. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Richard Montgomery Jordan, MD NPI is 1821075508. 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:

620 SUMMIT CROSSING PL
SUITE 106
GASTONIA, NC
ZIP 28054-176
Phone: (704) 867-8021
Fax: (704) 864-4606

The NPI 1821075508 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 enumeration date for this NPI number is 12/23/2005 and was last updated on 8/23/2010.


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
12085R0202XRadiologyDiagnostic Radiology30923NORTH CAROLINANo
22085R0204XRadiologyVascular & Interventional Radiology30923NORTH CAROLINAYes

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
147484OTHERBLUE CROSS BLUE SHIELD
2N30923MEDICAIDSOUTH CAROLINA
3213411MEDICARE ID-TYPE UNSPECIFIED
41642994OTHERUNITED HEALTHCARE
56677OTHERPARTNERS
62137652OTHERAETNA HMO
7300068233OTHERRAILROAD MEDICARE
88947484MEDICAIDNORTH CAROLINA
972386OTHERMEDCOST
10D92854MEDICARE UPIN
114629496OTHERAETNA PPO

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.