MR. MICHAEL ADAM GORDON (NPI# 1104263342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104263342 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ADAM GORDON |
| Credential | A.T., ATC, CSCS |
| Practice Address |
3802 Isabella Ave Cincinnati OH 45209-2112 |
| Practice Telephone | 5132002859 |
| Mailing Telephone | 5132002859 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002357 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1316917123 | Michael W Gordon | Optometrist | 214 N. Bdwy, Spring Valley, MN 55975 | 2006-01-24 |
| Street Address |
3802 ISABELLA AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262939 | Karl H Quilligan | Specialist/Technologist | 1043 Holz Ave, Cincinnati, OH 45230-3644 | 2020-07-10 |
| 1922636679 | Emi Matsuno | Specialist/Technologist | 2751 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-30 |
| 1093342164 | Philip Montano | Specialist/Technologist | 2571 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-26 |
| 1558913632 | Mollie Borcherding | Specialist/Technologist | 3600 Victory Pkwy, Cincinnati, OH 45207 | 2019-07-10 |
| 1518529767 | Tyler Smith | Specialist/Technologist | 6847 Stewart Rd Apt 323, Cincinnati, OH 45236-4258 | 2019-07-08 |
| 1104380674 | Alexis Murphy | Specialist/Technologist | 11981 Elkwood Dr, Cincinnati, OH 45240-1521 | 2019-01-29 |
| 1003386137 | Katie Cornell | Specialist/Technologist | 2862 Deerhaven Dr, Cincinnati, OH 45244-4524 | 2018-12-02 |
| 1396213559 | Carolyn Stockwell | Specialist/Technologist | 4460 Red Bank Rd Ste 110, Cincinnati, OH 45227-2173 | 2018-11-06 |
| 1992288583 | Craig Donald Lindsey | Specialist/Technologist | 9001 Montgomery Rd, Cincinnati, OH 45242-7711 | 2018-09-11 |
| 1023504230 | Dalton Alan Davis | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2018-07-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
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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.