Mrs. Jennifer Ann Jordan
Otolaryngology

Address: 1130 Beachview St, Suite 240, Dallas, TX 75218-3700
Phone: 2143240418

Mrs. Jennifer Ann Jordan (NPI# 1003808528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003808528
Entity Type Individual
Full Name Mrs. Jennifer Ann Jordan
Credential M.D.
Gender Female
Practice Address 1130 Beachview St
Suite 240
Dallas
TX 75218-3700
Practice Telephone 2143240418
Practice Fax Number 2143240693
Mailing Address 1130 Beachview St
Suite 240
Dallas
TX 75218-3700
Mailing Telephone 2143240418
Mailing Fax Number 2143240693
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-08-19
Last Update Date 2014-02-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 174400000X Specialist Other Service Providers J9721 TX
Yes 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians J9721 TX
No 207YP0228X Otolaryngology · Pediatric Otolaryngology Allopathic & Osteopathic Physicians J9721 TX
No 2086X0206X Surgery · Surgical Oncology Allopathic & Osteopathic Physicians J9721 TX
No 207YS0012X Otolaryngology · Sleep Medicine Allopathic & Osteopathic Physicians J9721 TX

Providers with the same name

NPI Name Taxonomy Address Enumeration
1689169815 Jennifer Luvenia Jordan Driver 701 Shady Meadow Ln, Glenn Heights, TX 75154-7923 2018-06-29
1427561372 Jennifer Jordan Nurse Practitioner 4404 Tina Ln, Plant City, FL 33563-8518 2017-11-14
1588908669 Jennifer Elaine Jordan Acupuncturist 29 Mountain View St, Oak View, CA 93022-9412 2012-11-15
1730440389 Jennifer Jordan Licensed Practical Nurse 31 Scarborough Ln Ste B, Wappingers Falls, NY 12590-5151 2012-05-30
1487925772 Jennifer Rush Jordan Registered Nurse 607 Main Street, Lansdale, PA 19446 2012-01-19
1851617575 Jennifer Anne Jordan Speech-Language Pathologist 1315 Chesterpoint Dr, Spring, TX 77386-2567 2010-04-20
1366685984 Jennifer Jordan Speech-Language Pathologist 3300 Jordan Oaks Dr, Efland, NC 27243-9812 2009-04-13
1144481862 Jennifer Michelle Jordan Chiropractor 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 2008-06-25
1891816336 Jennifer Ann Jordan Licensed Practical Nurse 6152 N Main St, Wilkinson, IN 46186-9640 2007-04-03
1841338209 Jennifer Jordan Marriage & Family Therapist 624 E Grand Blvd Ste E, Corona, CA 92879 2007-02-01
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Physician Overview

NPI 1003808528
PAC ID by PECOS 4284677048
Professional Enrollment ID I20111212000855
Full Name Jennifer A Jordan
Organization Legal Name WHITE ROCK ENT PA
Phone Number 2143240418
Gender F
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 8123120284
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450021 BAYLOR UNIVERSITY MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use 88%
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) 54%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use 88%
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) 54%

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942778253 Donelson Neal Shannon Otolaryngology 2704 Hanover St, Dallas, TX 75225-7922 2018-11-05
1134527153 Ahmad Salman Alroqi Otolaryngology 5657 Amesbury Dr, Apt 807, Dallas, TX 75206-3000 2014-12-08
1649693565 Martin John Corsten Otolaryngology 4300 N Central Expy Ste 110, Dallas, TX 75206-6533 2014-01-29
1760728588 Sinus Registry, Pllc Otolaryngology 3112 Greenbrier Dr, Dallas, TX 75225-4602 2012-12-26
1659682680 Andrew T Day Otolaryngology Department of Otolaryngology - Head and Neck Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9035 2010-06-24
1689990228 Dylan Corey Lippert Otolaryngology 411 N. Washington Avenue, Suite 6400, Dallas, TX 75246 2010-04-07
1346444072 Dallas Otolaryngology Associates Otolaryngology 7777 Forest Ln Ste A103, Dallas, TX 75230-6800 2007-06-14
1639226525 Lesley French Childs Otolaryngology Utsw Department of Otolaryngology, 5323 Harry Hines Blvd, Dallas, TX 75390-9035 2007-01-04
1831295021 Henry Maurice Carder Otolaryngology 8315 Walnut Hill Lane, Suite 135, Dallas, TX 75231 2006-09-15
1821103177 William Monroe Crutcher Otolaryngology 4548 Shady Hill Dr, Dallas, TX 75229-2951 2006-08-20
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Office Location

Street Address 1130 BEACHVIEW ST
SUITE 240
City DALLAS
State TX
Zip Code 75218-3700

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NPI Name Taxonomy Address Enumeration
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1083048987 James H Stanley Md Pa Orthopaedic Surgery 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 2013-08-27
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1629216106 Joanna Marie Mcmahan Physical Therapist 1130 Beachview St, Suite 120, Dallas, TX 75218-3700 2009-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407412034 Sunaina Shalu Gill Specialist/Technologist 718 North Buckner Boulevard, #312, Dallas, TX 75218 2019-05-20
1851896492 Tawana Anderson Floyd Occupational Therapy Assistant 718 Buckner Blvd, #312, Dallas, TX 75218 2018-03-26
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1083988729 Paras Bharatkumar Patel Dentist 12316 Coolmeadow Lane, Dallas, TX 75218 2012-02-27
1881990216 Dallas Doctors Pain Clinic Pain Medicine 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 2011-02-02
1861719387 Mi Familia Medical Pllc General Practice 1100 Garland Road, Dallas, TX 75218 2010-04-23
1972832541 James Ervin Bridges Chiropractor 1214 Old Gate Ln, Dallas, TX 75218 2009-12-10
1326291295 Karl F Woodmansey Dentist 1215 Waterside Cir, Dallas, TX 75218 2008-10-23
1679739841 All About Care Homehealth Services Inc. Home Health 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 2008-08-06
1104035187 Charlotte Ann Hodges Surgery 1151 North Buckner Blvd #308, Dallas, TX 75218 2007-05-22
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Competitor

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City DALLAS
Zip Code 75218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.