| Dr Roger Wayne Jordan Jr, MD | |
| 200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| (000) 000-0000 | 
| Full Name | Dr Roger Wayne Jordan Jr | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 200 1st St Sw, Rochester, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073992566 | NPI | - | NPPES | 
| BP10052905 | Other | TX | TEXAS MEDICAL BOARD PHYCIAN-IN-TRAINING PERMIT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 66463 (Minnesota) | Primary | 
| Entity Name | Beverly Radiology Medical Group Iii | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20151028002416 | 
| Entity Name | Pro Radiology, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164966461 PECOS PAC ID: 1052696432 Enrollment ID: O20170327002470 | 
| Entity Name | M & B Imaging Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20180327002648 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | 
| Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
| Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
| Tanner Henrie,  Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
| Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
| Philippe Couillard,  Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
| Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702 | |
| Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |