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TAMARA JORDAN DO
NPI 1396207965
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 03, 2019PECOS Enrolled
2799 WEST GRAND BLVD., CFP 1, DETROIT, MI 48202(313) 916-1888 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tamara Jordan Do NPPES

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

TAMARA JORDAN DO (NPI 1396207965) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396207965
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAMARA JORDANCredential: DO
Location Address2799 WEST GRAND BLVD., CFP 1Detroit, MI 48202
Mailing Address2799 West Grand Blvd., Cfp 1Detroit, MI 48202 · (313) 916-1888
Phone(313) 916-1888
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1396207965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 WEST GRAND BLVD., Detroit, MI 48202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Jordan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

DR. MARY JO BURTKA AU.D.
Audiologist
2799 WEST GRAND BLVD., AUDIOLOGY, K-8 HENRY FORD HOSPITAL
DETROIT, MI 48202
Wayne County (313) 916-3283
MRS. TANIA LYN NEWMAN NNP
Nurse Practitioner (Neonatal)
2799 WEST GRAND BLVD.
DETROIT, MI 48202
Wayne County (313) 999-0917
ERROL M. ZIMMERMAN M.D.
Hospitalist
2799 WEST GRAND BLVD.
DETROIT, MI 48202
Wayne County (313) 916-8144
MRS. ROBINETTA ELIZABETH ARMSTRONG ACNP-BC
Nurse Practitioner (Acute Care)
2799 WEST GRAND BLVD.
DETROIT, MI 48202
Wayne County (313) 844-8878
MS. ANDREA CELIA BRZYS FNP
Nurse Practitioner (Family)
2799 WEST GRAND BLVD., K-8 DEPARTMENT OF GENERAL SURGERY
DETROIT, MI 48202
Wayne County (313) 806-0041
DR. TRICIA LYNN STEIN M.D.
Internal Medicine (Infectious Disease)
2799 WEST GRAND BLVD., HENRY FORD HOSPITAL
DETROIT, MI 48202
Wayne County (313) 916-2565
MS. ABEER A. TWAL R.PH
Pharmacist
2799 WEST GRAND BLVD.
DETROIT, MI 48202
Wayne County (313) 916-4143

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 Tamara Jordan's NPI number?

The NPI number for Tamara Jordan is 1396207965. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Tamara Jordan located?

Tamara Jordan practices at 2799 West Grand Blvd. Cfp 1, Detroit, MI 48202. The listed phone number is (313) 916-1888.

What is Tamara Jordan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tamara Jordan enrolled in Medicare?

Yes. Tamara Jordan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Jordan was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.