KELLY GORDON (NPI# 1124446505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124446505 |
| Entity Type | Individual |
| Full Name | KELLY GORDON |
| Credential | M.D. |
| Practice Address |
13001 E. 17th Place, Campus Box F546 Bldg. 500, Room E2322 Aurora CO 80045 |
| Practice Telephone | 3037246018 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DR.0058267 | CO | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DR.0058267 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13123 E 16th Ave, Aurora, CO 800457106 | 7207771234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1073762704 | Kelly Veronica Gordon | Social Worker | 18947 John J Williams Hwy Unit 212, Rehoboth Beach, DE 19971-4476 | 2008-09-18 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1285109199 | Kelly Suzanne Gordon | Occupational Therapist | 1101 W University Dr, Rochester, MI 48307-1863 | 2018-10-06 |
| 1598293227 | Kelly Gordon | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2017-05-25 |
| 1982148912 | Kelly Gordon | Social Worker | 333 9th St, Atlantic Beach, FL 32233-5437 | 2016-12-09 |
| 1003217514 | Kelly Gordon | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2014-09-16 |
| 1821376070 | Kelly A Gordon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-21 |
| 1891022182 | Kelly Kathleen Gordon | Nurse Practitioner | 75 Nw Dogwood St, Suite B, Issaquah, WA 98027-3210 | 2009-11-08 |
| 1063541829 | Kelly Lynn Gordon | Speech-Language Pathologist | 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710-4000 | 2007-03-05 |
| Street Address |
13001 E. 17TH PLACE, CAMPUS BOX F546 BLDG. 500, ROOM E2322 |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023544277 | Paula Riggs | Psychiatry & Neurology | 12469 East 17th Place, Building 400, Aurora, CO 80045 | 2017-05-10 |
| 1750480398 | Katherine Lynn Keeton | Psychiatry & Neurology | 1291 S Potomac, Aurora, CO 80012 | 2006-09-21 |
| 1093245250 | Rebecca Iza Katz | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2017-06-19 |
| 1760914774 | Chloe L Yeung | Psychiatry & Neurology | 13123 E. 16th Avenue, Gary Pavilion 4th Floor, Aurora, CO 80045 | 2017-03-29 |
| 1578927273 | Jodi Zik | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2016-04-08 |
| 1164819520 | Anastasia Klott | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-22 |
| 1598151508 | Jesse Hinckley | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2015-04-07 |
| 1407241003 | Allison Nicole Hoff | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-31 |
| 1689092819 | Christopher Michael Piatz | Psychiatry & Neurology | 13001 E 17th Pl, Building 500 Mail Stop F546, Aurora, CO 80045-2570 | 2014-04-04 |
| 1386089134 | Eva Diaz | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045 | 2013-05-07 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on KELLY GORDON.
| 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.