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JORDAN WILLIAM WARD
NPI 1174874168
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since October 01, 2012
1636 REGULUS AVE, ATTN: NOOM, VIRGINIA BEACH, VA 23461(402) 389-0788 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan William Ward NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN WILLIAM WARD (NPI 1174874168) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1174874168
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJORDAN WILLIAM WARD
Location Address1636 REGULUS AVE, ATTN: NOOMVirginia Beach, VA 23461-2200
Mailing Address1636 Regulus Ave, Attn: NoomVirginia Beach, VA 23461-2200 · (402) 389-0788
Phone(402) 389-0788
Sole ProprietorNo
Enumeration DateOctober 1, 2012
✔ NPI 1174874168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

1636 REGULUS AVE, Virginia Beach, VA 23461
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S SCOTT OLEXY PA-C
Physician Assistant (Surgical)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2015
MR. LESLIE ROY BOLTON IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 492-2026
MR. SEAN PATRICK MILES USN IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2393
MR. WILLIAM JOSEPH HARRIS JR. SFIDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE, NSWDG (N00M)
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2026
MR. JAMES PAUL WHITE JR. PA - C
Physician Assistant
1636 REGULUS AVE, N00M
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2000
MR. JOHN D DEMPSEY IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2017
DR. PETER MATHEW JOHNSON MD
Family Medicine
1636 REGULUS AVE, COMNAVSPECWARDEVGRU
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2026
MR. WILLIAM KEITH DOW IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 862-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Ward's NPI number?

The NPI number for Jordan Ward is 1174874168. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Jordan Ward located?

Jordan Ward practices at 1636 Regulus Ave Attn: Noom, Virginia Beach, VA 23461. The listed phone number is (402) 389-0788.

What is Jordan Ward's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jordan Ward was last updated on October 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.