DR. GORDON C BLACK (NPI# 1215161526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215161526 |
| Entity Type | Individual |
| Full Name | DR. GORDON C BLACK |
| Credential | DNP, APRN, FNP-BC |
| Practice Address |
5 Dunning St Suite 1 Claremont NH 03743 |
| Mailing Address |
243 Elm Street Claremont NH 03743 |
| Practice Telephone | 6035431251 |
| Practice Fax Number | 6035423558 |
| Mailing Telephone | 6035436940 |
| Mailing Fax Number | 6035436950 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0053103 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
037311-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 DUNNING ST SUITE 1 |
| City | CLAREMONT |
| State | NH |
| Zip Code | 03743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435737 | Robert P Cricco | Urology | 5 Dunning St, Claremont, NH 03743-2099 | 2005-08-31 |
| 1336420694 | Montague Family Medicine, Pllc | Family Medicine | 5 Dunning St, Claremont, NH 03743-2070 | 2011-08-31 |
| 1043495328 | Valley Urologists, Pa | Urology | 5 Dunning St, Claremont, NH 03743-2070 | 2008-01-04 |
| 1730372574 | Edward J. Orecchio Md Pllc | Specialist | 5 Dunning St, Ste 2, Claremont, NH 03743-2070 | 2007-08-24 |
| 1558447383 | Roy M Barnes | Family Medicine | 5 Dunning St, Claremont, NH 03743 | 2006-10-27 |
| 1225137268 | Claremont Family Practice, Pllc | Family Medicine | 5 Dunning St, Claremont, NH 03743-2070 | 2006-09-22 |
| 1730113853 | Springfield Hospital | Pediatrics | 5 Dunning St, Claremont, NH 03743 | 2006-07-11 |
| 1356378285 | Springfield Hospital | Urology | 5 Dunning St, Springfield Urology Associates, Claremont, NH 03743-2070 | 2006-06-27 |
| 1871536441 | Chris Schmidt | Physical Therapist | 5 Dunning St, Claremont, NH 03743-2070 | 2006-06-13 |
| 1225077209 | Diane M Tensen | Physical Therapist | 5 Dunning St, Claremont, NH 03743-2070 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
| 1285167122 | Erik Baker | Case Management | 52 W Pleasant Street, Claremont, NH 03743 | 2017-04-07 |
| 1598208076 | Home | Public Health or Welfare | 7 Pear St Unit C, Clearmont, NH 03743 | 2016-12-01 |
| 1306238118 | Kyle W Messier | Dental Hygienist | 1 Tremont St., Claremont, NH 03743 | 2015-03-03 |
| 1457653792 | 3 Stone Dental Pllc | Dentist | 367 Washington St. Unit 3, Claremont, NH 03743 | 2010-11-18 |
| 1427363993 | Swathi Dasari | Pharmacist | 71-73 Pleasant St., Claremont, NH 03743 | 2010-08-09 |
| 1811135460 | Kim Marie Reardon | Occupational Therapy Assistant | 290 Hanover Street, Claremont, NH 03743 | 2009-02-04 |
| 1447497227 | Elizabeth Zea Forrest | Social Worker | 140 North Street, West Central Services, Claremont, NH 03743 | 2009-01-15 |
| 1346425980 | Personal Touch Home Aides of Greater Portsmouth, Inc. | Home Health | 156 A Elm Street, Claremont, NH 03743 | 2008-01-02 |
| 1720121445 | Tlc Family Resource Center | Clinic/Center | 109 Pleasant Street, Claremont, NH 03743 | 2007-02-14 |
| Find all providers in zip 03743 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226663 | Cynthia Diane Raymond | Nurse Practitioner | 821 Lancaster Dr, Claremont, CA 91711-2972 | 2016-03-02 |
| 1053607895 | Melissa Hilario Lego | Nurse Practitioner | 757 N College Way, Claremont, CA 91711-3944 | 2011-06-21 |
| 1629279401 | Beth Ann Vawter | Nurse Practitioner | 170 W San Jose Ave, Suite 200, Claremont, CA 91711-5285 | 2007-05-30 |
| 1013082684 | Christine Jennifer Knapp-phillips | Nurse Practitioner | 757 N College Ave, Claremont, CA 91711-3944 | 2006-11-21 |
| 1629150214 | Kathy Lindenmayer | Nurse Practitioner | 1175 W Baseline Rd, Claremont, CA 91711-2146 | 2006-10-20 |
| 1124661707 | Kristen M Trimble | Nurse Practitioner | 214 Washington St, Claremont, NH 03743-5512 | 2019-10-25 |
| 1003469693 | Janae Monique Harris | Nurse Practitioner | 1601 Monte Vista Ave Ste 100, Claremont, CA 91711-6601 | 2019-07-22 |
| 1891260220 | Crystal Nicole Hays | Nurse Practitioner | 243 Elm St, Claremont, NH 03743-4921 | 2018-10-12 |
| 1871083279 | Nicole Ann Morris | Nurse Practitioner | 243 Elm St, Claremont, NH 03743-4999 | 2018-05-11 |
| 1790201887 | Kayla Kokal | Nurse Practitioner | 132 Pleasant St, Claremont, NH 03743-2694 | 2017-08-21 |
| Find all providers in CLAREMONT | ||||
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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.