MICHELLE L GORDON (NPI# 1174897524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174897524 |
| Entity Type | Individual |
| Full Name | MICHELLE L GORDON |
| Practice Address |
1409 Craig Blvd Edmond OK 73003-3135 |
| Practice Telephone | 4052481155 |
| Mailing Telephone | 4052481155 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562941 | Michelle Gordon | Intermediate Care Facility, Mentally Retarded | 15314 Willview Rd, Missouri City, TX 77489-2403 | 2019-01-23 |
| 1316150899 | Michelle Lea Gordon | Counselor | 100 Dar Dr., Crossnore, NC 28616-0249 | 2007-05-08 |
| 1295770907 | Michelle Elaine Gordon | Specialist | 11 Peekskill Hollow Rd # 97, Putnam Valley, NY 10579-3200 | 2006-06-17 |
| 1760032122 | Michelle Renee Gordon | Licensed Practical Nurse | 1199 Vernon Odom Blvd, Akron, OH 44307-1048 | 2019-09-18 |
| 1184108235 | Michelle Diane Gordon | Social Worker | 80 Everett Ave, Chelsea, MA 02150-2339 | 2018-09-24 |
| 1275997413 | Michelle Gordon | Specialist | 673 Columbia Tpke, East Greenbush, NY 12061-2130 | 2016-04-13 |
| 1437404787 | Michelle Gordon | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-23 |
| 1447523972 | Michelle Gordon | Social Worker | 80 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2012-02-14 |
| 1245551522 | Michelle D Gordon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2010-06-21 |
| 1801929526 | Michelle Judith Gordon | Speech-Language Pathologist | 6508 Gunn Highway, Tampa, FL 33625-4022 | 2007-03-13 |
| Street Address |
1409 CRAIG BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059388 | 15th Street Clinic | Contractor | 180 W 15th St Ste 100, Edmond, OK 73013-3601 | 2019-05-20 |
| 1851897474 | Jami Michelle Reed | Contractor | 2256 Nw 164th, Edmond, OK 73013-1227 | 2018-04-03 |
| 1396006433 | Tremaine Ike Mcdonald | Contractor | 7179 Ashley Trl, Edmond, OK 73025-2563 | 2012-06-05 |
| 1457638454 | Sherry Davis Richardson | Contractor | 2545 Nw 179th Ct, Edmond, OK 73012 | 2011-11-04 |
| 1750576252 | Carol L Honea | Contractor | 3509 Brownwood Ln, Edmond, OK 73034-8918 | 2007-09-09 |
| 1659565364 | Lynn Jenkins | Contractor | 14014 Crossing Way E, Edmond, OK 73013-4730 | 2007-09-06 |
| 1962619437 | Andree Marie Reutlinger | Contractor | 3816 Coachlight Dr, Edmond, OK 73013-6943 | 2007-05-16 |
| 1619309663 | Angela D Harkey | Contractor | 400 S Broadway, Suite 3, Edmond, OK 73034-3848 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051963 | Omnicare365, Inc. | Contractor | 3588 Tom Smith Rd, Durant, OK 74701-6025 | 2020-07-29 |
| 1639700214 | Tohnyonah Jackson | Contractor | 7500 Knight Lake Dr Apt 123, Oklahoma City, OK 73132-6019 | 2020-01-31 |
| 1427693019 | Embrace Life, LLC | Contractor | 8521 Arlington Dr, Oklahoma City, OK 73132-4752 | 2019-11-07 |
| 1013558725 | Antwone Robinson | Contractor | 4407 Sw Hickory Ln, Lawton, OK 73505-7506 | 2019-10-03 |
| 1487200549 | Jason Alexander Cortes | Contractor | 2717 Nw Denver Ave, Lawton, OK 73505-3942 | 2019-08-14 |
| 1104485747 | Clayton Lucas | Contractor | 224 Springtree Dr, Harrah, OK 73045-4517 | 2019-06-07 |
| 1336615046 | Jera D Burtin | Contractor | 220 N Moreland Ave, Watonga, OK 73772-4038 | 2018-10-19 |
| 1346734282 | Sherry Deanne Ramsey | Contractor | 714 S Mcdonald St, Stillwater, OK 74074-4213 | 2018-06-14 |
| 1972022119 | Stephanie Lauryn Morcom | Contractor | 4525 W Beech Ave, Duncan, OK 73533-2295 | 2017-09-19 |
| 1942721329 | Loretta Ann Martin | Contractor | 6122 N Macarthur Blvd Apt 1646122n, Warr Acres, OK 73122-7350 | 2017-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE L 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.