ROBERT W. JORDAN MD PC
NPI 1356506455
Specialist in Bountiful, UT

NPI Status: Active since July 28, 2008

Contact Information

1551 RENAISSANCE TOWNE DR
SUITE 400
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 295-7200
Fax: (801) 295-4930

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  • Specialist

About ROBERT W. JORDAN MD PC

This page provides the complete NPI Profile along with additional information for Robert W. Jordan Md Pc, a provider established in Bountiful, Utah operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1356506455 assigned on July 2008. The practitioner's primary taxonomy code is 174400000X with license number 166068-1205 (UT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert W Jordan Md (Corporate President)

NPI
1356506455
Provider Name
ROBERT W. JORDAN MD PC
Entity Type
Organization
Location Address
1551 RENAISSANCE TOWNE DR SUITE 400 BOUNTIFUL, UT 84010
Location Phone
(801) 295-7200
Location Fax
(801) 295-4930
Mailing Address
1551 RENAISSANCE TOWNE DR SUITE 400 BOUNTIFUL, UT 84010
Mailing Phone
(801) 295-7200
Mailing Fax
(801) 295-4930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2008
Last Update Date
04-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
166068-1205
License State
UT
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT W JORDAN MD

Authorized Official Title
CORPORATE PRESIDENT
Authorized Official Phone
(801) 295-7200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D07361MEDICARE UPIN (02)UT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356506455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310610012410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 0 + 1 + 2 + 4 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1356506455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548261431 CURTIS BRIAN JOLLEY PT MOMT
Individual
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1558362434 KIM WAYNE REID PT
Individual
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1447242847 KLEMENTINA TINA BUCHHEISTER PT
Individual
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1588650196 AMANDA THOMPSON DPT
Individual
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1083695068COMPREHENSIVE IMAGING SERVICES LLC
Organization
Radiology (Diagnostic Radiology)1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010
(801) 298-7272
1215997663DR. MARK L NELSON D.D.S
Individual
Dentist (Pediatric Dentistry)1551 RENAISSANCE TOWNE DR SUITE 540
BOUNTIFUL, UT 84010
(801) 295-8322
1770631194MOUNTAIN WEST EAR NOSE AND THROAT LC
Organization
Otolaryngology1551 RENAISSANCE TOWNE DR SUITE 310
BOUNTIFUL, UT 84010
(801) 295-5581
1508907304 MICHEAL M HESS M.D.
Individual
Orthopaedic Surgery1551 RENAISSANCE TOWNE DR STE. 400
BOUNTIFUL, UT 84010
(801) 295-7200
1457478562 CHRISTOPHER CHAD MARTINEAU PAC
Individual
Physician Assistant1551 RENAISSANCE TOWNE DR STE 400
BOUNTIFUL, UT 84010
(801) 295-7200
1376722579DAVID W. STEVENS MD PC
Organization
Specialist1551 RENAISSANCE TOWNE DR SUITE 400
BOUNTIFUL, UT 84010
(801) 295-7200
1881859973JOHN C. EDWARDS MD INC.
Organization
Specialist1551 RENAISSANCE TOWNE DR SUITE 400
BOUNTIFUL, UT 84010
(801) 295-7200
1598920688ERIC C. JOHNSTON MD INC.
Organization
Specialist1551 RENAISSANCE TOWNE DR SUITE 400
BOUNTIFUL, UT 84010
(801) 295-7200
1346405446R. PEPPER MURRAY MD PC
Organization
Specialist1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010
(801) 295-7200
1851545081PREMIER PLASTIC SURGERY GROUP OF UTAH, LLC
Organization
Plastic Surgery1551 RENAISSANCE TOWNE DR SUITE 360
BOUNTIFUL, UT 84010
(801) 295-9105
1376821587CANYON RIDGE PAIN AND SPINE PC
Organization
Pain Medicine (Interventional Pain Medicine)1551 RENAISSANCE TOWNE DR SUITE 460
BOUNTIFUL, UT 84010
(801) 205-4116
1790066124MR. STUART CHASE SONDRUP D.P.T.
Individual
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1194098020 JORDAN SCOTT CARVER PHARMD
Individual
Pharmacist1551 RENAISSANCE TOWNE DR #104
BOUNTIFUL, UT 84010
(801) 295-6979
1720148240PERFORMANCE WEST PHYSICAL THERAPY
Organization
Physical Therapist1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010
(801) 295-3553
1740431428MT OGDEN EYE CENTER LLC
Organization
Ophthalmology1551 RENAISSANCE TOWNE DR SUITE 340
BOUNTIFUL, UT 84010
(801) 409-9900
1326475831 MICHELLE HORNE ATC
Individual
Specialist/Technologist (Athletic Trainer)1551 RENAISSANCE TOWNE DR SUITE 420
BOUNTIFUL, UT 84010
(801) 694-9791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356506455, enumerated in the NPI registry as an "organization" on July 28, 2008

The provider is located at 1551 Renaissance Towne Dr Suite 400 Bountiful, Ut 84010 and the phone number is (801) 295-7200

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 28, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.