Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony Scott Jordan, MD

Individual provider Family Medicine Physician · NPI 1144212549

Dr. Anthony Scott Jordan, MD is a Family Practice in Boise, Idaho. Graduated from Indiana University School of Medicine in 2000, 26 years ago. Licensed in Idaho and Indiana.

Years since qualifying
26
Trained at
Indiana University School of Medicine
Licensed in
ID, IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12080 McMillan Rd
Boise, ID 83713-2462
Phone: (208) 375-4955
Fax: (208) 375-5568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-9584 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01056364A (IN)

Record details

NPI number1144212549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESJanuary 23, 2014
Mailing address190 E Bannock St, Boise, ID 83712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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