National Provider Identifier
Michael Robert Jordan, M.D.
Michael Robert Jordan, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 630-1143.
Profile Overview
- NPI
- 1952456808
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- January 23, 2007
- Last Updated
- December 14, 2021
Practice Location
- 325 Essjay RD
- Williamsville, NY 14221-8243
Phone: (716) 630-1143
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Family Medicine Physician (207Q00000X)
- Addiction Medicine (Preventive Medicine) Physician (2083A0300X)
- Sports Medicine (Family Medicine) Physician (207QS0010X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221
Full Record
- NPI
- 1952456808
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Michael
- Middle Name
- Robert
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1308
- Mailing Fax
- (716) 250-5961
- Practice Street Address
- 325 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 630-1143
- Practice Fax
- (716) 817-1766
- Enumeration Date
- January 23, 2007
- Last Updated
- December 14, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Addiction Medicine (Preventive Medicine) Physician (2083A0300X), Sports Medicine (Family Medicine) Physician (207QS0010X)