Marshall C Jordan, MD is a
Surgery physician based in Espanola, New Mexico. Marshall C Jordan is licensed to practice in New Mexico (license number MD2006-0824) and his current practice location is Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 367-0340.
NPI number for Marshall C Jordan is 1982656880 and his current mailing address is Po Box 26666, Phs Provider Enrollment, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982656880.
Physician's Profile
Full Name | Marshall C Jordan |
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Gender | Male |
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Speciality | Surgery |
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Location | Espanola Multi-specialty Clinic, Espanola, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982656880
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 08/14/2008
Medical Identifiers
Medical identifiers for Marshall C Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982656880 | NPI | - | NPPES |
29377056 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD2006-0824 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marshall C Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marshall C Jordan, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Marshall C Jordan, MD Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 Ph: (505) 367-0340 |
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