DR. STEPHEN R GORDON (NPI# 1114340064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114340064 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN R GORDON |
| Credential | PHARMD |
| Practice Address |
17823 Cricket Hill Dr Germantown MD 20874-3462 |
| Practice Telephone | 3019806568 |
| Mailing Telephone | 3019806568 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202009192 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP032116L | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 10998 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023012523 | Stephen M Gordon | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2005-06-13 |
| 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 |
17823 CRICKET HILL DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1255940136 | Satchi Koene | Pharmacist | 12825 Wisteria Dr, Germantown, MD 20874-2654 | 2020-07-28 |
| 1053939686 | Candace Anderson | Pharmacist | 18920 Moonwalk Ct, Germantown, MD 20874-6119 | 2020-07-09 |
| 1063055242 | Vista Khoshroo | Pharmacist | 19411 Rayfield Dr, Germantown, MD 20874-6257 | 2019-10-21 |
| 1932754587 | Jia Gao | Pharmacist | 23 Observation Ct Apt 203, Germantown, MD 20876-6415 | 2019-08-09 |
| 1215498423 | Jenny Piacentini | Pharmacist | 2916 Mallard Ln, Germantown, TN 38138-7661 | 2019-03-29 |
| 1053883165 | Bich Ngoc T Tran | Pharmacist | 13065 Shadyside Ln Unit B, Germantown, MD 20874-2842 | 2018-12-31 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1477939445 | Brooke Allen | Pharmacist | 7825 Farindon Dr, Germantown, TN 38138-7109 | 2015-07-31 |
| 1518356971 | Bethlehem Shawle | Pharmacist | 19312 Circle Gate Dr Apt 303, Germantown, MD 20874-5228 | 2015-01-22 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.