Provider Demographics
NPI:1477559904
Name:JORDAN, CURTIS A (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:JORDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:302 W 14TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3751
Mailing Address - Country:US
Mailing Address - Phone:812-284-0660
Mailing Address - Fax:812-284-3822
Practice Address - Street 1:302 W 14TH ST
Practice Address - Street 2:STE 100
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3751
Practice Address - Country:US
Practice Address - Phone:812-284-0660
Practice Address - Fax:812-284-3822
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2020-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01034505A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
351995025OtherUNITED HEALTH
351995025OtherHUMANA
351995025OtherCIGNA
5373086OtherFIRST HEALTH
833753OtherFIRST HEALTH
351995025OtherSAGAMORE
5373086OtherAETNA
KY64270846Medicaid
KY1051957OtherPASSPORT
918739OtherBLOCK VISION
000000042711OtherANTHEM
019837POtherSIHO
IN100439320Medicaid
33B29OtherIHN
KY64270846OtherUNISYS
019837POtherSIHO
351995025OtherCIGNA
180025729Medicare UPIN