MICHAEL DON GORDON (NPI# 1225562622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225562622 |
| Entity Type | Individual |
| Full Name | MICHAEL DON GORDON |
| Other Name | MICHAEL DON GORDON |
| Credential | ARNP |
| Practice Address |
373 Breezeel School Rd Benton KY 42025-5376 |
| Practice Telephone | 3072473661 |
| Mailing Telephone | 3072473661 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
3011246 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1316917123 | Michael W Gordon | Optometrist | 214 N. Bdwy, Spring Valley, MN 55975 | 2006-01-24 |
| Street Address |
373 BREEZEEL SCHOOL RD |
| City | BENTON |
| State | KY |
| Zip Code | 42025-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
| 1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
| Find all providers in zip 42025 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538585435 | Quality Nursing Innovations, Pllc | Clinical Nurse Specialist | 206 Lynnwood Dr, Russellville, KY 42276-2134 | 2014-03-16 |
| 1457615478 | Leslie Marie Combs | Clinical Nurse Specialist | 1060 Marshall Branch Rd, Nicholasville, KY 40356-9339 | 2012-06-25 |
| 1386257129 | Mary Angela Malone | Clinical Nurse Specialist | 529 S Jackson St, Louisville, KY 40202-3229 | 2020-08-30 |
| 1770091027 | Joshua Aaron Goldberg | Clinical Nurse Specialist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-01-19 |
| 1023525805 | Amber Dawn Parker | Clinical Nurse Specialist | 120 Tradepark Dr Ste B, Somerset, KY 42503-3454 | 2018-01-03 |
| 1881131530 | Kelly Taylor | Clinical Nurse Specialist | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2017-01-19 |
| 1851631410 | Deborah D Welsh | Clinical Nurse Specialist | 2603 Kentucky Ave Ste 304, Paducah, KY 42003-3829 | 2013-02-19 |
| 1962764357 | Deanna Mcpherson | Clinical Nurse Specialist | 1200 Breckenridge St, Owensboro, KY 42303-1089 | 2012-06-12 |
| 1568740108 | Brittany A Hunter | Clinical Nurse Specialist | 225 Medical Center Dr, Suite 201, Paducah, KY 42003-7914 | 2011-08-01 |
| 1104123041 | Andrew D Bailey Md | Clinical Nurse Specialist | 4001 Kresge Way, Suite 130, Louisville, KY 40207-4640 | 2011-02-11 |
| 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.