| Lauren Elizabeth Jordan, MD | |
| 350 W Thomas Rd, Attn: Academic Affairs, Phoenix, AZ 85013-4409 | |
| (602) 406-3538 | |
| Not Available | 
| Full Name | Lauren Elizabeth Jordan | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 350 W Thomas Rd, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275829087 | NPI | - | NPPES | 
| 72492 | Other | AZ | TRAINING PERMIT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 72492 (Arizona) | Primary | 
| Entity Name | Sansum Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607 | 
| Entity Name | Obhg California Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lauren Elizabeth Jordan, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (888) 956-1616 | Lauren Elizabeth Jordan, MD 350 W Thomas Rd, Attn: Academic Affairs, Phoenix, AZ 85013-4409 Ph: (602) 406-3538 | 
| Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
| Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
| Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
| Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
| Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
| Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
| Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |