DR. JENNIFER ROSE GORDON (NPI# 1073748281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748281 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ROSE GORDON |
| Credential | MD |
| Practice Address |
5301 Davis Ln Ste 100 Austin TX 78749-4061 |
| Practice Telephone | 5126152730 |
| Practice Fax Number | 5125663612 |
| Mailing Telephone | 5126152730 |
| Mailing Fax Number | 5126663764 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | P5367 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER RECORD ID | 8EK794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052581 | Jennifer Lynn Gordon | Technician | 142 Argyle St, Keyser, WV 26726-3329 | 2020-08-03 |
| 1093969842 | Jennifer Marie Gordon | Case Manager/Care Coordinator | 322 N Shore Dr Ste 200, Pittsburgh, PA 15212-5875 | 2008-11-06 |
| 1093979064 | Jennifer Lynn Gordon | Registered Nurse | 516 1/2 Cleveland Blvd, Fayetteville, NY 13066-1110 | 2008-07-17 |
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1831241777 | Jennifer Leigh Gordon | Physical Therapist | 17066 Hwy 3, Webster, TX 77598 | 2007-01-18 |
| 1699877464 | Jennifer L. Gordon | Dentist | 1181 Central Blvd Ste E, Brentwood, CA 94513-2252 | 2006-09-02 |
| 1437112034 | Jennifer Gordon | Specialist/Technologist | 2502 Derby Dr, Fallston, MD 21047-1208 | 2006-04-06 |
| 1487615027 | Jennifer Gordon | Physical Therapist | 14999 Health Center Dr Ste 201, Bowie, MD 20716-1087 | 2006-03-31 |
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1427667864 | Jennifer Julien Gordon | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-07-30 |
| Street Address |
5301 DAVIS LN STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78749-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639243678 | Cheryl A Kosarek | Dermatology | 5301 Davis Ln Ste 100, Austin, TX 78749-4061 | 2006-11-20 |
| 1427292937 | Tatiana Silva Sousa | Dermatology | 5301 Davis Ln Ste 100, Austin, TX 78749-4061 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| 1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
| 1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
| 1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
| 1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
| 1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
| 1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
| 1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
| 1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
| Find all providers in zip 78749 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962864488 | Mark Correa | Dermatology | 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 | 2016-03-23 |
| 1699166991 | Elizabeth L Foley | Dermatology | 505 W Louis Henna Blvd Ste 200, Austin, TX 78728-1703 | 2015-02-09 |
| 1225461924 | Nicholas R Snavely Md | Dermatology | 10815 Rr 2222 Bldg 3a Ste 200, Austin, TX 78730-1159 | 2013-08-16 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1568808459 | On Site Dermatology of Texas Pllc | Dermatology | 6500 River Place Blvd, Suite 250, Building 7, Austin, TX 78730-1119 | 2013-05-17 |
| 1699044800 | Balcones Dermatology Associates, P.a. | Dermatology | 8240 N. Mo Pac Expwy, Ste 350, Austin, TX 78759 | 2011-12-16 |
| 1689957169 | Sanova Dermatology Pllc | Dermatology | 12319 N Mopac Expy Ste 100, Austin, TX 78758-2486 | 2011-09-21 |
| 1740573997 | Olubusayo Obayan | Dermatology | 3303 Northland Dr Ste 308, Austin, TX 78731 | 2011-05-20 |
| 1306166152 | Elizabeth Rebecca Geddes-bruce | Dermatology | 3637 Far West Blvd Ste E, Austin, TX 78731-4126 | 2010-06-03 |
| 1033437835 | Stanley Tyler Hollmig | Dermatology | 1601 Trinity St Ste 704b, Austin, TX 78712 | 2010-05-04 |
| Find all providers in AUSTIN | ||||
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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.