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1982232914

NPI Code Detail

MEDICARE: JORDAN KEITH VOSS MD

MEDICARE: JORDAN KEITH VOSS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	69689	MN
2	208M00000X	Hospitalist Physician	35.147365	OH
3	207R00000X	Internal Medicine Physician	30905	MN
4	207RG0100X	Gastroenterology Physician	35.147365	OH

General Provider Information

NPI Number	:	1982232914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN KEITH VOSS MD

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-6200
Fax Number	:	513-245-3672

Provider Business Practice Location Address
First Line	:	3188 BELLEVUE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2369
Country	:	US
Telephone Number	:	513-475-7505
Fax Number	:	513-475-7355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	06/10/2026

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Directions to “ JORDAN KEITH VOSS MD” Practice Location

Language	Start Address	Practice Location

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