DR. STUART MARSHALL GORDON (NPI# 1205980935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205980935 |
Entity Type | Individual |
Full Name | DR. STUART MARSHALL GORDON |
Credential | D.D.S. |
Practice Address |
16 Greenmeadow Dr Timonium MD 21093-3200 |
Practice Telephone | 4103089955 |
Practice Fax Number | 4103089980 |
Mailing Telephone | 4103089955 |
Mailing Fax Number | 4103089980 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
7301 | MD | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013187657 | Stuart Irving Gordon | Pharmacist | 120 E Lindsay St, Greensboro, NC 27401-3008 | 2008-03-11 |
1518152933 | Stuart Gordon | Social Worker | 575 E Plumb Ln, Reno, NV 89502-3540 | 2007-09-10 |
1679641112 | Stuart C. Gordon | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
1992711469 | Stuart R Gordon | Internal Medicine | 1 Medical Center Dr, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-08-01 |
1154361103 | Stuart L Gordon | Orthopaedic Surgery | 3 Cooper Plz, Suite 502, Camden, NJ 08103-1438 | 2006-06-07 |
1164428306 | Stuart Jay Gordon | Orthopaedic Surgery | 1838 Greene Tree Rd, Suite 325, Pikesville, MD 21208-6391 | 2005-06-22 |
Street Address |
16 GREENMEADOW DR |
City | TIMONIUM |
State | MD |
Zip Code | 21093-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003849290 | Raymond Moy | Pediatrics | 16 Greenmeadow Dr, Suite G105, Timonium, MD 21093-3200 | 2006-07-09 |
1396157004 | Natasha Phillips | Physician Assistant | 16 Greenmeadow Dr, Suite G-105, Timonium, MD 21093-3200 | 2014-05-29 |
1760777692 | Patricia Tom | Family Medicine | 16 Greenmeadow Dr, Suite G105, Timonium, MD 21093-3200 | 2011-06-20 |
1265755482 | Amonrath Chittchang | Internal Medicine | 16 Greenmeadow Dr, Suite G-105, Timonium, MD 21093-3200 | 2010-03-02 |
1700090610 | Sharon J Hughey | Psychologist | 16 Greenmeadow Dr, Suite G106, Timonium, MD 21093-3200 | 2007-05-09 |
1407068257 | Robert Neil Kittle Sr. | Counselor | 16 Greenmeadow Dr, Suite 106, Timonium, MD 21093-3200 | 2007-05-04 |
1831213982 | Evelyn L. Poey Fielding | Psychologist | 16 Greenmeadow Dr, Ste. G106, Timonium, MD 21093-3200 | 2007-03-16 |
1285704056 | Advait V. Shah | Dentist | 16 Greenmeadow Dr, Suite 205, Timonium, MD 21093-3200 | 2006-11-09 |
1518990696 | Leonard Raucher | Family Medicine | 16 Greenmeadow Dr, Suite G105, Timonium, MD 21093-3200 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
Find all providers in zip 21093 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942427083 | Mary-ibeth Ossa | Dentist | 115 E Padonia Rd, Timonium, MD 21093-2521 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
1275902298 | Yeremi A Canizales Dds P A | Dentist | 572 Ritchie Hwy Ste F, Severna Park, MD 21146-2966 | 2015-09-21 |
1770911273 | Fotini Chrisopoulos | Dentist | 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 | 2013-10-18 |
1548514730 | Churchton Dental Care | Dentist | 5570 Shady Side Rd, Unit A, Churchton, MD 20733-9639 | 2012-11-09 |
1124396551 | Guadalupe Garcia Fay | Dentist | 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 | 2011-12-13 |
1598033136 | Mark Edward Brennan | Dentist | 882 Backbone Ct, Westminster, MD 21157-7745 | 2011-12-11 |
1366738536 | William E. Chmar | Dentist | 5952 Hubbard Dr, Rockville, MD 20852-4824 | 2011-06-25 |
1073812913 | Family Cosmetic & Implant Dentistry | Dentist | 3222 Powder Mill Rd, Adelphi, MD 20783-1037 | 2011-03-17 |
1831499433 | Stuart L. Graves Dental Associates, P.C. | Dentist | 11200 Rockville Pike Ste 115, Rockville, MD 20852-7114 | 2010-10-28 |
1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
Find all providers with the same taxonomy |
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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.