Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Christopher Jordan Miedema, MD

Individual provider Emergency Medicine Physician · NPI 1255747432

Dr. Christopher Jordan Miedema, MD is an Emergency Medicine in Phoenix, Arizona. Graduated from Southern Illinois University School of Medicine in 2014, 12 years ago. Practices with Emergency Professional Services PC, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
12
Trained at
Southern Illinois University School of Medicine
Licensed in
AZ, IL
In the registry since
2014
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

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone: (480) 500-2540
Fax: (623) 201-7954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 N 1st St, Springfield, IL 62702-3757 — (217) 545-3518

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53920 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.064907 (IL)

Record details

NPI number1255747432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 8, 2014
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Emergency Professional Services Pc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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