Individual provider · Type 1 NPI

Jordan Blake Iceton, MD

Cardiovascular Disease Physician · Rochester, MN

NPI number 1376129312 Active

Practice location

200 1st St SW
Rochester, MN 55905-0001

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 506 6th St, Brooklyn, NY 11215-3609 · (718) 780-3000
  • 300 Pasteur Dr, Stanford, CA 94305-2200 · (650) 723-4000

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X80650 (MN)
Internal Medicine Physician 207R00000XA195430 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

9,753 other providers at this address

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About NPI 1376129312

Jordan Blake Iceton, MD's National Provider Identifier is 1376129312, issued on Mar 21, 2021. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Rochester, MN. The record was last updated on Sep 26, 2025.