TIMOTHY W JORDAN (MD) – Pediatrics Physician, NPI 1669442612

TIMOTHY W JORDAN (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 26988 (AZ). The NPI Number for TIMOTHY W JORDAN (MD) is 1669442612

Main info

Male
Name
TIMOTHY W JORDAN (MD)
NPI
1669442612
Phone
(509) 474-2730
Address
PO BOX 421
Enumeration Date
24 January 2006
Last Update Date
21 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for TIMOTHY W JORDAN (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 474-2730

    Type: Mailing

  • PO BOX 31001-4114

    PASADENA, CA 911100001

    Phone: (509) 474-2730

    Type: Mailing

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SUITE 4200

    SPOKANE, WA 992042307

    Phone: (509) 474-2730

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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Reviews

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Frequently asked questions

What is TIMOTHY W JORDAN (MD)'s NPI number?
TIMOTHY W JORDAN (MD)'s NPI is 1669442612 — the number used across U.S. healthcare to identify this provider.
Is TIMOTHY W JORDAN (MD) still an active registrant?
TIMOTHY W JORDAN (MD) carries an active NPI according to the public dataset.
What area of care is associated with TIMOTHY W JORDAN (MD)?
TIMOTHY W JORDAN (MD)'s record emphasizes Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY W JORDAN (MD)?
Travel planning: use Liberty Lake, Washington as the reference point for TIMOTHY W JORDAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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