DEBRA FISHER GORDY (NPI# 1073939971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073939971 |
Entity Type | Individual |
Full Name | DEBRA FISHER GORDY |
Credential | RDMS, RVT, ARRT |
Practice Address |
18667 Little Ln Delmar DE 19940-4000 |
Mailing Address |
Po Box 208 Delmar DE 19940-0208 |
Practice Telephone | 4433591382 |
Mailing Telephone | 4433591382 |
Enumeration Date | 2014-03-15 |
Last Update Date | 2014-03-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
188183 | MD | Technologists, Technicians & Other Technical Service Providers |
N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
35528 | MD | Technologists, Technicians & Other Technical Service Providers |
Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
35528 | MD | Technologists, Technicians & Other Technical Service Providers |
Street Address |
18667 LITTLE LN |
City | DELMAR |
State | DE |
Zip Code | 19940-4000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699872044 | Delmar Fire Department Inc. | Ambulance | Bi-state Blvd & Grove St, Delmar, DE 19940 | 2006-09-20 |
1093972796 | Delmarva Health Centre, Inc | Chiropractor | 10955 State Street, Delmar, DE 19940-0369 | 2008-05-20 |
1881179273 | Be Well Bi State Counseling | Social Worker | 500 N Bi State Blvd Ste 101, Delmar, DE 19940-1104 | 2018-10-01 |
1356336622 | Chancellor Care Center of Delmar | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2005-09-13 |
1134641970 | Matthew Alexander Reasinger | Occupational Therapist | 101 Delaware Ave, Delmar, DE 19940-1110 | 2017-07-13 |
1336539717 | 101 E Delaware Ave Operations LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2015-01-23 |
1699105296 | Lauren Nichole O'day | Occupational Therapy Assistant | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-11-18 |
1790118800 | Katelin Tull | Occupational Therapist | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-08-12 |
1538406095 | Jessica Robin Jackson | Physical Therapy Assistant | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-01-03 |
1417224833 | Envoy of Delmar, LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2011-11-30 |
Find all providers in zip 19940 |
Taxonomy Code | 2471V0105X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Vascular Sonography |
Definition to come. |
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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.