Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205816840 Individual Practitioner Male Practitioner

Dr. Michael Couzens Jordan , MD

Pediatrics • Trinity, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Jordan, MD is a registered healthcare professional specializing in Pediatrics in Trinity, FL. Practice services are available at 2137 LITTLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2137 Little Rd

Trinity, FL 346554410

Telephone 7273726760
Fax 7273726808
Associated Practice Facility / Clinic
🏢 East Lake Pediatrics Facility NPI 1144343617

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Trinity, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Trinity, FL (4160 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

CMS Verified: 2023-06-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME86866

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2670593000 (FL)
Commercial Insurance / Payer ID Blue Cross/blue Shield
71107 (FL)

Practice Associates & Co-Workers

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

10 Associated Practitioners
NPI 1124480330
Jennifer Leal , ARNP

Nurse Practitioner - Primary Care

NPI 1164616975

Advanced Registered Nurse Practitioner

NPI 1275853145

Doctor of Medicine (M.D.)

NPI 1366437345

Doctor of Medicine (M.D.)

NPI 1427323526

Doctor of Medicine (M.D.)

Rosemarie Rodriguez , ARNP

Nurse Practitioner - Pediatrics

NPI 1568878049

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 06, 2023

Registered at 2137 LITTLE RD, TRINITY, FL 346554410 (Tel: 7273726760)

📍
Updated Business Mailing Address June 06, 2023

Registered at 2137 LITTLE RD, TRINITY, FL 346554410 (Tel: 7273726760)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4150 WOODLANDS PKWY, SUITE B, PALM HARBOR, FL 346853495 (Tel: 7277721452)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4150 WOODLANDS PKWY, SUITE B, PALM HARBOR, FL 346853495 (Tel: 7277721452)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL JORDAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME86866 in FL)

🟢
Initial NPI Registration & Enumeration January 19, 2006

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: 1205816840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: June 06, 2023
Sole Proprietor: No

Mailing Address

2137 Little Rd

Trinity, FL 346554410

Phone: 7273726760

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.