KEVIN C GORDON (NPI# 1174815625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174815625 |
| Entity Type | Individual |
| Full Name | KEVIN C GORDON |
| Credential | M.D. |
| Practice Address |
1011 Reed Ave Suite 300 Wyomissing PA 19610-2002 |
| Practice Telephone | 6103744401 |
| Practice Fax Number | 6103747140 |
| Mailing Telephone | 6103744401 |
| Mailing Fax Number | 6103747140 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD460173 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776479 | Kevin Bruce Gordon | Pharmacist | 1816 Sydenham Trail, Virginia Beach, VA 23464-8917 | 2019-08-21 |
| 1649787367 | Kevin B Gordon | Specialist/Technologist | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2018-01-03 |
| 1902277528 | Kevin Gordon | Registered Nurse | 9500 Euclid Ave., Cleveland, OH 44106 | 2015-10-08 |
| 1053723643 | Kevin Gordon | Contractor | 12222 E 30th St, Tulsa, OK 74129-8423 | 2014-05-29 |
| 1811082431 | Kevin Gordon | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-10-03 |
| 1740383736 | Kevin Gordon | Specialist | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2006-09-06 |
| 1437151370 | Kevin J Gordon | Internal Medicine | 1610 W University Blvd, Durant, OK 74701-3045 | 2005-08-11 |
| 1871597666 | Kevin R Gordon | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-09 |
| Street Address |
1011 REED AVE SUITE 300 |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176183 | Berks Center for Digestive Health, Lp | Clinic/Center | 1011 Reed Ave, Suite 600, Wyomissing, PA 19610-3600 | 2005-06-30 |
| 1801496815 | Nicole Dautrich | Behavioral Analyst | 1011 Reed Ave, Wyomissing, PA 19610-2002 | 2020-10-28 |
| 1710599634 | Dawn Nicole Reedy | Behavior Technician | 1011 Reed Ave, Wyomissing, PA 19610-2002 | 2020-08-21 |
| 1124544622 | Carolyn Langlois | Behavior Technician | 1011 Reed Ave, Wyomissing, PA 19610-2002 | 2017-08-16 |
| 1376066456 | Katie Lynn Hamsher | Social Worker | 1011 Reed Ave, Wyomissing, PA 19610-2002 | 2017-07-20 |
| 1285160101 | Holcomb Behavioral Health Systems | Community/Behavioral Health | 1011 Reed Ave, Suite 900, Wyomissing, PA 19610-2002 | 2017-05-11 |
| 1760927354 | Rick Anthony Perez | Social Worker | 1011 Reed Ave, Suite 900, Wyomissing, PA 19610-2002 | 2017-01-05 |
| 1417409145 | Sonia Rodriguez | Social Worker | 1011 Reed Ave, Ste 900, Wyomissing, PA 19610-2002 | 2016-10-28 |
| 1629441886 | Lee Ellen Bach | Behavioral Analyst | 1011 Reed Ave, #900, Wyomissing, PA 19610-2002 | 2015-11-09 |
| 1265813893 | Eric Fisher | Behavioral Analyst | 1011 Reed Ave, Suite 900, Wyomissing, PA 19610-2002 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518060631 | Berks Gastrointestinal and Liver Diseases PC | Internal Medicine | 2747 Century Blvd, Suite 100, Wyomissing, PA 19610-3346 | 2006-09-06 |
| 1770550113 | Eric B Zelnick | Internal Medicine | 2230 Ridgewood Rd, Suite 100, Wyomissing, PA 19610-3600 | 2006-03-03 |
| 1558704403 | Robert Bell Cooper II | Internal Medicine | 1011 Reed Ave Ste 300, Wyomissing, PA 19610 | 2013-04-10 |
| 1205065125 | Christopher Bahy Ibrahim | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2009-07-13 |
| 1407099112 | Farid Razavi | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2009-04-10 |
| 1639317993 | Adam Spiegel | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2009-01-25 |
| 1851512719 | Aparna M Mele | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2007-05-01 |
| 1285853887 | Paul Young-chan Kim | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2007-04-24 |
| 1023148731 | Nirav R. Shah | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2007-03-06 |
| 1821043134 | Ravi K. Ghanta | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2006-05-24 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on KEVIN C 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.