Physician Compare National (NPI:1598845521)

HEALTHCARE PROVIDER: FRANCIS ROBERT JORDAN JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598845521
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709971393
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070927000234
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JORDAN
	Individual professional last name
Provider First Name	FRANCIS
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	600 NORTHERN BLVD
	Group Practice or individual's line 1 address
City	ALBANY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	122041004
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5184713650
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330180
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y