MARK K. JORDAN M.D. – NPI #1922002252
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

MARK JORDAN is a physician located in EDGEWOOD, KY. NPPES has assigned the NPI number 1922002252 to MARK JORDAN on May 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Dec 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK JORDAN below.

NPI Profile for
MARK K. JORDAN

NPI Number
1922002252
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK K. JORDAN
Credentials
M.D.
Primary location
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Phone: (859) 287-3045 Fax: (859) 578-3800
Mailing address
PO BOX 636324
CINCINNATI, OH 45263-6324
Phone: (859) 287-3045 Fax: (859) 578-3800
Sole Proprietor
No
Updated
Certification Date
Dec 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK JORDAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREKYP00920128
medicaidIN200501330
medicaidKY50024715
medicaidKY64083108
medicaidOH2528572
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 KY 38774
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IN 01071044A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK JORDAN is affiliated with the following medical group(s):
  • HOSPITAL
    • ST ELIZABETH DEARBORN HOSPITAL
      600 WILSON CREEK RD
      LAWRENCEBURG, IN 47025
    • ST ELIZABETH EDGEWOOD
      1 MEDICAL VILLAGE DRIVE
      EDGEWOOD, KY 41017
    • ST ELIZABETH FLORENCE
      4900 HOUSTON ROAD
      FLORENCE, KY 41042
    • ST ELIZABETH FT THOMAS
      85 NORTH GRAND AVENUE
      FORT THOMAS, KY 41075
    • ST ELIZABETH GRANT
      238 BARNES ROAD
      WILLIAMSTOWN, KY 41097

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