WESLEY GORDON (NPI# 1134659550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134659550 |
| Entity Type | Individual |
| Full Name | WESLEY GORDON |
| Credential | PA-C |
| Practice Address |
1068 W Baltimore Pike Media PA 19063 |
| Mailing Address |
1068 W Baltimore Pike Media PA 19063-5104 |
| Practice Telephone | 4842274216 |
| Practice Fax Number | 6106274230 |
| Mailing Telephone | 4842274216 |
| Mailing Fax Number | 6106274230 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060088 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4940 Eastern Ave, Baltimore, MD 212242735 | 4107356613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806652 | Wesley Gordon | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-06-17 |
| 1225408966 | Wesley Gordon | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2015-10-06 |
| Street Address |
1068 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1851914303 | Casey Leigh Ryan | Genetic Counselor, MS | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-05-19 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1194372730 | Margaryta Tolchynska | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-08-19 |
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1063905370 | Kaela Mclaughlin | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063 | 2018-06-11 |
| 1235671892 | Viyaleta Vaitulevich | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-11-14 |
| 1225581234 | Syed Ali | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-07-26 |
| 1598115404 | Ariel Lippman | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1508300187 | Steven Mackay | Physician Assistant | 1098 W Baltimore Pike, Suite 3402, Media, PA 19063-5139 | 2016-12-15 |
| 1275824260 | Ann Curran Brown | Physician Assistant | 1088 W Baltimore Pike, Media, PA 19063-5146 | 2011-04-25 |
| 1821392978 | Marisa K Baldassano | Physician Assistant | 1088 W Baltimore Pike, Hcc II Suite 2407, Media, PA 19063-5146 | 2011-01-04 |
| 1417143033 | Michelle Cerato Booth | Physician Assistant | 1088 W Baltimore Pike, 4th Flr Suite 2400 Cardiology Consultants of Phila, Media, PA 19063 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
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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.