MARY E GORDON (NPI# 1134224520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134224520 |
| Entity Type | Individual |
| Full Name | MARY E GORDON |
| Credential | M.D. |
| Practice Address |
Children's Hospital 300 Longwood Ave Brookline MA 02115 |
| Mailing Address |
21 Pickwick Rd West Newton MA 02465-2818 |
| Practice Telephone | 6173556000 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 227257 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942405873 | Mary Ellen Gordon | Orthotic Fitter | 514 N Brightleaf Blvd Ste 1202, Smithfield, NC 27577-4486 | 2007-06-20 |
| 1548395031 | Mary Elizabeth Gordon | Psychologist | 285 South Perry St, Lawrenceville, GA 30045 | 2007-02-23 |
| 1316012784 | Mary Elaine Gordon | Marriage & Family Therapist | 3 Williamsburg Ln, Chico, CA 95926 | 2006-11-21 |
| 1972521367 | Mary N Gordon | Internal Medicine | 151 W High St Lowr Level, Morris, IL 60450-1407 | 2006-07-17 |
| 1386206555 | Mary Inez Gordon | Behavior Technician | 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 | 2019-07-08 |
| 1164831608 | Mary Gordon | Clinical Nurse Specialist | 6621 Fannin St, Houston, TX 77030-2358 | 2014-08-08 |
| 1457699886 | Mary Ann Gordon | Counselor | 815 Flack Ave, Alliance, NE 69301-2722 | 2013-01-18 |
| 1235401613 | Mary Loray Gordon | Registered Nurse | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-02-01 |
| 1235446261 | Mary Kathleen Gordon | Occupational Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2010-09-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| Street Address |
CHILDREN'S HOSPITAL 300 LONGWOOD AVE |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1275738031 | Lisa Elaine Schnettler | Pediatrics | 28 James St Apt B, Brookline, MA 02446-3819 | 2007-06-20 |
| 1225174204 | Jennifer M Lewis | Pediatrics | 8 Penniman Rd, Brookline, MA 02445-4108 | 2007-01-29 |
| 1477668150 | Patricia A Severson | Pediatrics | 98 Longwood Ave, Apt. #4, Brookline, MA 02446-6665 | 2006-08-20 |
| 1760410492 | Lauren Michelle Lagrega | Pediatrics | 184 Naples Rd, Apt 4, Brookline, MA 02446-5784 | 2006-06-29 |
| 1568401552 | Eli H Newberger | Pediatrics | 92 Evans Rd, Brookline, MA 02445-2118 | 2006-06-05 |
| 1205827821 | Bruce Willard Bunnell | Pediatrics | One Brookline Place, Suite 327 Centre Pediatric Associates PC, Brookline, MA 02445-7294 | 2005-11-02 |
| 1033694849 | Brookline Pediatrics, LLC | Pediatrics | 1180 Beacon St Ste 7a, Brookline, MA 02446-3806 | 2018-09-27 |
| 1295255016 | Julie B. Dollinger, M.d. | Pediatrics | 1180 Beacon St Ste 7a, Brookline, MA 02446-3806 | 2017-06-22 |
| 1215475397 | Saillant Medical LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-02-08 |
| Find all providers in BROOKLINE | ||||
Please comment or provide details below to improve the information on MARY E 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.