DR. ROBERT K GORDON (NPI# 1144452798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144452798 |
Entity Type | Individual |
Full Name | DR. ROBERT K GORDON |
Credential | DO |
Practice Address |
400 W Camelback Rd Suite 209 Phoenix AZ 85013-2330 |
Practice Telephone | 9285149433 |
Mailing Telephone | 9285149433 |
Enumeration Date | 2009-08-17 |
Last Update Date | 2016-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 5101018505 | MI | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | SL0746 | NV | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 006491 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | ARIZONA BOARD OF OSTEOPATHIC EXAMINERS | 006491 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105429 | Robert Henry Gordon Sr. | Homemaker | 1119 Sand Creek Loop, Ocoee, FL 34761-1434 | 2020-08-17 |
1952643652 | Robert B Gordon | Durable Medical Equipment & Medical Supplies | 4552 Mcknight Rd, Pittsburgh, PA 15237 | 2013-03-20 |
1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
1083939391 | Robert Dana Gordon | Transplant Surgery | 520 Cameron Manor Way Nw, Atlanta, GA 30328-6202 | 2010-03-30 |
1811147028 | Robert Sproat Gordon | Family Medicine | 13 Coronad Circle, Angel Fire, NM 87710 | 2008-09-24 |
1487815072 | Robert Gordon | Psychologist | 13355 Noel Road, Suite 1910, Dallas, TX 75240 | 2008-06-17 |
1760652531 | Robert Seth Gordon | Psychiatry & Neurology | 611 S Kansas Ave Ste 101, Topeka, KS 66603 | 2008-03-07 |
1891972675 | Robert James Gordon | Marriage & Family Therapist | 1023 Executive Parkway Dr Ste 10, Creve Coeur, MO 63141-6323 | 2008-01-23 |
1649470394 | Robert Morris Gordon | Psychiatry & Neurology | 651 Bering Dr, #1801, Houston, TX 77057-2133 | 2007-07-20 |
1922211622 | Robert C. Gordon | Chiropractor | 220 Castle Keep Rd, Salisbury, NC 28146-9020 | 2007-05-08 |
Street Address |
400 W CAMELBACK RD SUITE 209 |
City | PHOENIX |
State | AZ |
Zip Code | 85013-2330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114439809 | Jasmine Irene Cook | Counselor | 400 W Camelback Rd, Phoenix, AZ 85013-2330 | 2017-11-02 |
1386954634 | Court Support Services | Counselor | 400 W Camelback Rd, Phoenix, AZ 85013-2330 | 2010-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
Find all providers in zip 85013 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
Find all providers in PHOENIX |
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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.