KEVIN GORDON (NPI# 1053723643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053723643 |
| Entity Type | Individual |
| Full Name | KEVIN GORDON |
| Practice Address |
12222 E 30th St Tulsa OK 74129-8423 |
| Practice Telephone | 9188136340 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776479 | Kevin Bruce Gordon | Pharmacist | 1816 Sydenham Trail, Virginia Beach, VA 23464-8917 | 2019-08-21 |
| 1649787367 | Kevin B Gordon | Specialist/Technologist | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2018-01-03 |
| 1902277528 | Kevin Gordon | Registered Nurse | 9500 Euclid Ave., Cleveland, OH 44106 | 2015-10-08 |
| 1174815625 | Kevin C Gordon | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2011-05-03 |
| 1811082431 | Kevin Gordon | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-10-03 |
| 1740383736 | Kevin Gordon | Specialist | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2006-09-06 |
| 1437151370 | Kevin J Gordon | Internal Medicine | 1610 W University Blvd, Durant, OK 74701-3045 | 2005-08-11 |
| 1871597666 | Kevin R Gordon | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-09 |
| Street Address |
12222 E 30TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74129-8423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417369000 | Gloria Nicole Gordon | Contractor | 12222 E 30th St, Tulsa, OK 74129-8423 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
| 1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
| 1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
| 1710458856 | Brittany Paige Watkins | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-12-16 |
| 1043799968 | Latosha Renee | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-08-10 |
| 1285128710 | Amanda Danielle Woods-roberts | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-18 |
| 1407349129 | Terri Lynne Ross | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-07 |
| 1225529449 | Sydney Herburger | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-05-23 |
| Find all providers in zip 74129 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104294222 | Yvonne Lewis | Contractor | 1948 E 14th St, Tulsa, OK 74104-4433 | 2015-09-04 |
| 1083093512 | Kyra Clark | Contractor | 6010 S 73rd East Ave, Tulsa, OK 74145-9329 | 2015-05-29 |
| 1295114528 | Jamie Bryan-jabbour | Contractor | 5304 E 79th St, Tulsa, OK 74136-8464 | 2015-05-19 |
| 1649682287 | Jenny Cantrell | Contractor | 7216 E 89th St, Tulsa, OK 74133 | 2014-06-02 |
| 1154733749 | Chantelle Lott | Contractor | 9048 E 29th Ct, Tulsa, OK 74129-6812 | 2014-05-29 |
| 1417369000 | Gloria Nicole Gordon | Contractor | 12222 E 30th St, Tulsa, OK 74129-8423 | 2014-05-29 |
| 1477972289 | Princiz Jones | Contractor | 2445 N Yorktown Ave, Tulsa, OK 74110-2044 | 2014-04-08 |
| 1386060267 | Robert Banks | Contractor | 8112 E 16th St Apt 207, Tulsa, OK 74112-8202 | 2014-03-14 |
| 1083044077 | Steven Colbert | Contractor | 9524 E 81st St Ste B1548, Tulsa, OK 74133-8032 | 2013-11-12 |
| 1841532504 | Debbie Mccully | Contractor | 428 S Quebec Ave, Tulsa, OK 74112-2710 | 2013-03-20 |
| Find all providers in TULSA | ||||
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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.