Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932546108 Individual Practitioner Male Practitioner

Dr. Elijah Jordan , MD

General Practice • San Luis, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Elijah Jordan, MD is a registered healthcare professional specializing in General Practice in San Luis, AZ. Practice services are available at 7125 EAST JUAN SANCHEZ BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7125 East Juan Sanchez Blvd
Aspc- Yuma Health Services

San Luis, AZ 85349

Telephone 9286278871

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Luis, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in San Luis, AZ (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AZ 47197

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Doctor of Dental Surgery

Richard Elelu

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205564242
NPI 1720329253

Doctor of Osteopathic Medicine (D.O.)

Maxine Millard , RN, FNP

Nurse Practitioner - Family

NPI 1891144796

Registered Nurse, Family Nurse Practitioner

David Leon , FNP-C

Nurse Practitioner - Family

NPI 1922968676

Family Nurse Practitioner (Certified)

Manacey Clermont , PA-C

Physician Assistant

NPI 1942812334

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2013

Registered at 7125 EAST JUAN SANCHEZ BLVD, ASPC- YUMA HEALTH SERVICES, SAN LUIS, AZ 85349 (Tel: 9286278871)

📍
Updated Business Mailing Address May 29, 2013

Registered at 7125 EAST JUAN SANCHEZ BLVD, ASPC- YUMA HEALTH SERVICES, SAN LUIS, AZ 85349 (Tel: 9286278871)

👤
Provider Name / Credentials Updated May 29, 2013

Recorded as ELIJAH JORDAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

General Practice (License #47197 in AZ)

🟢
Initial NPI Registration & Enumeration May 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932546108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2013
Last Update: May 29, 2013
Sole Proprietor: Yes

Mailing Address

7125 East Juan Sanchez Blvd, Aspc- Yuma Health Services

San Luis, AZ 85349

Phone: 9286278871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.