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WILLIAM L. JORDAN MD PC
NPI 1306094065
Specialist in Oak Park, MI

Active since September 05, 2008CLIA 23D0894248 · Waiver
12900 W 9 MILE RD, OAK PARK, MI 48237(248) 547-9292 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William L. Jordan Md Pc NPPES

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

WILLIAM L. JORDAN MD PC (NPI 1306094065) is a healthcare organization registered as a specialist in Oak Park, Michigan and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists William Luke Jordan, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1306094065
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLIAM L. JORDAN MD PC
Location Address12900 W 9 MILE RDOak Park, MI 48237-2990
Mailing AddressPo Box 353Southfield, MI 48037-0353 · (248) 547-9292
Phone(248) 547-9292
Organization SubpartNo
Authorized OfficialWilliam Luke JordanOwner/president · (248) 547-9292
Enumeration DateSeptember 5, 2008
Last NPPES UpdateJanuary 6, 2009
✔ NPI 1306094065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 048252
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12900 W 9 MILE RD, Oak Park, MI 48237
Open in Google Maps ↗

Other Identifiers 3

Medicaid4352155 10MI
Other1606306732Bcbsm
Medicare PIN0630673MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0894248

William L Jordan, MD · Oak Park, MI
Active · expires Oct 6, 2026
CLIA Number23D0894248
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorWilliam L. Jordan MD
Laboratory Phone(248) 547-9292
Laboratory LocationWilliam L Jordan, MD12900 West Nine Mile, Oak Park, MI 48237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

THEODORE K GRAHAM MD PC
Obstetrics & Gynecology
12900 W 9 MILE RD
OAK PARK, MI 48237
Oakland County (248) 547-9292
ADVANCE HEALING AND INTEGRATIVE SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
12900 W 9 MILE RD
OAK PARK, MI 48237
Oakland County (480) 444-8184

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 William L. Jordan MD PC's NPI number?

The NPI number for William L. Jordan MD PC is 1306094065. It was assigned to this organization in the NPPES registry on September 5, 2008.

Where is William L. Jordan MD PC located?

William L. Jordan MD PC is located at 12900 W 9 Mile Rd, Oak Park, MI 48237. The listed phone number is (248) 547-9292.

What is William L. Jordan MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does William L. Jordan MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0894248) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does William L. Jordan MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list William L. Jordan MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William L. Jordan MD PC was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.