DR. CHRISTOPHER GORDON (NPI# 1003234873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003234873 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER GORDON |
| Credential | D.O. |
| Practice Address |
745 N 500 W Ste 200 Provo UT 84601-1472 |
| Mailing Address |
395 W 12th Ave Columbus OH 43210-1267 |
| Practice Telephone | 8013759292 |
| Practice Fax Number | 8013759290 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
11021602-1204 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356539449 | Christopher Aaron Gordon | Dentist | 450 New Market Blvd Ste 4, Boone, NC 28607-5501 | 2007-10-15 |
| 1982639043 | Christopher David Gordon | Psychiatry & Neurology | 1881 Worcester Road, Framingham, MA 01701 | 2006-07-11 |
| 1497383319 | Christopher Michael Gordon | Student in an Organized Health Care Education/Training Program | 2475 Broadway Bluffs Dr Ste 200, Columbia, MO 65201-8147 | 2020-03-27 |
| 1750942173 | Christopher Ryan Gordon | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2019-06-26 |
| 1194240481 | Christopher L Gordon | Dentist | 1569 Fall River Dr Ste 193, Loveland, CO 80538-9059 | 2017-08-07 |
| 1013463546 | Christopher Gordon | Behavioral Analyst | 2020 Pinto Ln, Las Vegas, NV 89106-4019 | 2016-08-25 |
| 1114472966 | Christopher David Gordon | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2016-08-22 |
| 1629455969 | Christopher Gordon | Anesthesiology | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2015-05-06 |
| 1639579188 | Christopher Andrew Gordon | Counselor | 1790 W 11th Ave Ste A, Eugene, OR 97402-3780 | 2014-09-02 |
| 1407108988 | Christopher Gordon | Pharmacist | 3545 W 86th St, Indianapolis, IN 46268-1930 | 2012-10-09 |
| Street Address |
745 N 500 W STE 200 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770043317 | Christopher Gordon Do, LLC | Allergy & Immunology | 745 N 500 W Ste 200, Provo, UT 84601-1472 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598169393 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1922363001 | Joshua Graham Burkhardt | Internal Medicine | 555 W Sr 164, Salem, UT 84653 | 2012-07-05 |
| 1518916782 | Richard W Hendershot | Internal Medicine | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2006-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.