STEPHEN M GORDON (NPI# 1023012523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023012523 |
| Entity Type | Individual |
| Full Name | STEPHEN M GORDON |
| Credential | D.O. |
| Practice Address |
12330 Metcalf Ave Ste. 420 Overland Park KS 66213-1324 |
| Practice Telephone | 9133239000 |
| Practice Fax Number | 9133239001 |
| Mailing Telephone | 9133239000 |
| Mailing Fax Number | 9133239001 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0519181 | KS | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | R9794 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 241356849 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114340064 | Stephen R Gordon | Pharmacist | 17823 Cricket Hill Dr, Germantown, MD 20874-3462 | 2014-01-29 |
| 1528388956 | Stephen Thomas Gordon | Chiropractor | 1719 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2010-06-08 |
| 1992824361 | Stephen Gordon | Obstetrics & Gynecology | 49 Islanders Retreat, Savannah, GA 31411-2941 | 2007-03-28 |
| 1487673018 | Stephen Gordon | Internal Medicine | 7318 Green Oak Ter, Lanham, MD 20706-3843 | 2006-07-18 |
| 1114954146 | Stephen Jerome Gordon | Dentist | 8 South Michigan Avenue, Suite 1800, Chicago, IL 60603-3357 | 2006-06-26 |
| 1043610785 | Stephen Gordon | Behavioral Analyst | 324 Newburyport Ave, Altamonte Springs, FL 32701-3645 | 2014-08-31 |
| 1295009694 | Stephen Timothy Gordon | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305 | 2012-03-02 |
| 1609009711 | Stephen Elliot Gordon | Internal Medicine | 330 Brookline Ave, Deaconess 307, Boston, MA 02215-5400 | 2009-08-24 |
| 1093849820 | Stephen Winslow Gordon | Plastic Surgery | 3186 S Maryland Pkwy, Las Vegas, NV 89109 | 2007-03-15 |
| 1235272881 | Stephen R. Gordon | Specialist | 514 W Pueblo St, Second Floor, Santa Barbara, CA 93105-6207 | 2007-02-14 |
| Street Address |
12330 METCALF AVE STE. 420 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336592930 | Ashley Irene Heimsoth | Nurse Practitioner | 12330 Metcalf Ave, Ste. 400, Overland Park, KS 66213-1324 | 2016-07-19 |
| 1104160365 | Crystal Krueger | Nurse Practitioner | 12330 Metcalf Ave, Suite 400, Overland Park, KS 66213-1324 | 2012-11-12 |
| 1952656977 | Jennifer Rose Kenz Litwin | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2012-07-16 |
| 1497061030 | Family Health Medical Group of Overland Park, LLC | Family Medicine | 12330 Metcalf Ave, Suite 500, Overland Park, KS 66213-1324 | 2010-08-20 |
| 1699903690 | Deepthi Vodnala | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213 | 2009-06-29 |
| 1093922098 | Debbra D. Bazata | Dietitian, Registered | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2007-05-17 |
| 1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
| 1700930476 | Tamera L Nation | Nurse Practitioner | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2007-01-22 |
| 1871674598 | Cardiovascular Conltants, PC | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1324 | 2006-10-18 |
| 1295820983 | Janella F Dewitt | Physician Assistant | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134511280 | Francis Gary Lockwood | Obstetrics & Gynecology | 6421 West 92nd Street, Overland Park, KS 66212-1373 | 2015-02-26 |
| 1437413069 | Mary Janelle Laughlin | Obstetrics & Gynecology | 13129 Bluejacket St, Overland Park, KS 66213-4632 | 2012-06-28 |
| 1669734950 | Jessica Elaine Parrott | Obstetrics & Gynecology | 12200 W 106th St Ste 110, Overland Park, KS 66215-2305 | 2012-06-12 |
| 1225134406 | Peter Joseph Caruso | Obstetrics & Gynecology | 12330 Metcalf Ave Ste 420, Overland Park, KS 66213-1307 | 2006-09-15 |
| 1710096755 | Timothy L. Bennett | Obstetrics & Gynecology | 5520 College Boulevard, Suite 480, Overland Park, KS 66211 | 2006-08-30 |
| 1073566774 | Kansas City Women's Clinic | Obstetrics & Gynecology | 10600 Quivira, Ste. 3rd Floor, Overland Park, KS 66215-2311 | 2006-05-17 |
| 1033176474 | John T Schroll Md Pa | Obstetrics & Gynecology | 12541 Foster St, Suite 220, Overland Park, KS 66213-2630 | 2006-04-28 |
| 1497715437 | Catherine A Gordon | Obstetrics & Gynecology | 9209 W. 110th Street, Building #36, Overland Park, KS 66210 | 2006-03-24 |
| 1871585075 | Cynthia K Drake | Obstetrics & Gynecology | 11364 W 121st Ter, Overland Park, KS 66213-1978 | 2005-08-16 |
| 1538165048 | Errick Y Arroyo | Obstetrics & Gynecology | 12200 W 106th St, Suite 230, Overland Park, KS 66215-2305 | 2005-06-21 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.