Douglas A Jordan Jr.
D.P.M. | Podiatrist | 35+ years Exp
Medicare Enrolled
11528 Us Highway 19, Port Richey
Florida, 34668-1442
727-868-2151 727-868-7379
Maps & DirectionsDouglas A Jordan Jr. is a Port Richey, Florida based podiatrist with 35 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1990. He is also affiliated with hospitals like Regional Medical Center Bayonet Point and Medical Center Of Trinity. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Douglas A Jordan Jr. for Podiatric Foot & Ankle Surgery is PO 2114 in Florida.
Douglas A Jordan Jr. is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Douglas A Jordan Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 35+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 1990 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 11528 Us Highway 19, Port Richey,
Florida, 34668-1442 |
| Phone: | 727-868-2151 |
| Fax: | 727-868-7379 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2365343654 |
| Enrollment ID: | I20100301000169 |
| NPI Number: | 1518945500 |
| NPI Enumeration Date: | 09 Jan, 2006 |
| NPI Last Update On: | 30 Nov, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas A Jordan Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| PO 2114 | Podiatric Foot & Ankle Surgery | Florida | Primary | |
| PO 2114 | Podiatry | Florida | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Regional Medical Center Bayonet Point (100256) | Hudson, FL | Acute Care Hospital |
| Medical Center Of Trinity (100191) | Trinity, FL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Douglas A Jordan Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| S.m.s., D.o., P.a. (0143207530) | 23 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas A Jordan Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 102751 | Other | Florida | AVMED |
| 10593101 | Other | Florida | CITRUS GCMCI |
| 480018908 | Other | Florida | RAILROAD MEDICARE |
| 65211 | Other | Florida | BLUE CROSS BLUE SHIELD FLORIDA |
| 985373 | Other | Florida | UNITED HEALTH CARE |
| 01352 | Other | Florida | UNIVERSAL HEALTH CARE |
| 10593102 | Other | Florida | CITRUS GCMCII |
| 057053200 | Medicaid | Florida | |
| 6200309 | Other | Florida | GHI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11528 Us Highway 19,
Port Richey, Florida |
| Zip: | 34668-1442 |
| Phone Number: | 727-868-2151 |
| Fax Number: | 727-819-8362 |
Patients can reach Douglas A Jordan Jr. at
11528 Us Highway 19, Port Richey, Florida or can
call to book an appointment on 727-868-2151.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.