Individual
DR. WADE THOMAS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M..D.
Contact information
Practice address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
Mailing address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R4P99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002012599
MEDICARE PTAN
MO
05
—
122036001
—
AR
01
—
153509
HEALTHLINK
—
05
—
203047915
—
MO
01
—
25183
BLUE CROSS BLUE SHIELD
MO
01
—
390003925
RAILROAD MEDICARE
—
Enumeration date
10/06/2006
Last updated
12/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us