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Kenneth Wayne Jordan, MD

NPI 1184628505ActiveIndividual· Pediatrics· Durham, NC

Pediatrics (MD) in Durham, North Carolina, licensed in NC, with an NPI issued in June 2005. Enrolled in Medicare as practitioner - pediatric medicine.

Overview

NPI1184628505
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 13, 2005
Last updated in NPPESSep 1, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X33260NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (NC)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Durham

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