| Dr Robert Charles Jordan, MD, FAAOA | |
|
2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | |
| (843) 766-7103 | |
| (843) 873-8732 |
| Full Name | Dr Robert Charles Jordan |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2295 Henry Tecklenburg Dr, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558367433 | NPI | - | NPPES |
| 104764 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 10476 (South Carolina) | Primary |
| Entity Name | Charleston Ent Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588607303 PECOS PAC ID: 4082662234 Enrollment ID: O20050105000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Charles Jordan, MD, FAAOA 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 Ph: (843) 766-7103 | Dr Robert Charles Jordan, MD, FAAOA 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 Ph: (843) 766-7103 |
Ronald James Mcvicar, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-576-2692 | |
Nicole Kloosterman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave # Msc550, Charleston, SC 29425 Phone: 843-792-8299 | |
Dr. Mark Drury Ghegan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-763-3834 | |
Anthony Ghanem, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave Ste 1130, Charleston, SC 29425 Phone: 843-876-0791 Fax: 843-792-0546 | |
Amanda Gemmiti, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. David Watson Rodwell Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 67 Broad St, Suite 200, Charleston, SC 29401 Phone: 843-628-1415 | |
Brandon Ithiel Esianor, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |