DR. GORDON JOHNSON (NPI# 1235103276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235103276 |
| Entity Type | Individual |
| Full Name | DR. GORDON JOHNSON |
| Credential | MD |
| Practice Address |
24988 Se Stark St Gresham OR 97030-8324 |
| Mailing Address |
3465 Ne 36th Ave Portland OR 97212-2756 |
| Practice Telephone | 5033312376 |
| Mailing Telephone | 5033312376 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD19750 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841369 | Gordon Stanley Johnson | Optometrist | 2827 Woodruff Rd, Simpsonville, SC 29681-4807 | 2006-08-22 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1528406444 | Gordon Mack Johnson | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-13 |
| 1730444084 | Gordon Johnson | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-07-11 |
| 1053588004 | Gordon Dean Johnson | Technician | 27885 170th Ave Sw, Crookston, MN 56716-9444 | 2008-05-09 |
| 1235201351 | Gordon Christopher Johnson | Chiropractor | 1535 W Northfield Blvd, Suite 6, Murfreesboro, TN 37129-1427 | 2006-11-14 |
| 1316911670 | Gordon Leslie Johnson | Pathology | 10101 W Forest Hill Blvd, Wellington Regional Medical Center Pathology Dept, Wellington, FL 33414 | 2006-02-14 |
| 1932105061 | Gordon L Johnson | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-23 |
| Street Address |
24988 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555860 | Peter R Gyerko | Pediatrics | 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 | 2005-08-15 |
| 1952858300 | Loan Duong | Physician Assistant | 24988 Se Stark St, Gresham, OR 97030-8322 | 2016-09-01 |
| 1063738128 | Aura Theresa Bondoc De Olazo | Internal Medicine | 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030-8322 | 2010-04-14 |
| 1710120845 | Jenny Lara Semadeni Malcom | Pediatrics | 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 | 2009-04-20 |
| 1508060849 | Lori Ann Anderson | Pediatrics | 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 | 2007-06-12 |
| 1407066764 | Metta Elizabeth Kohn Willey | Pediatrics | 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 | 2007-05-23 |
| 1356469902 | Ted Huang | Internal Medicine | 24988 Se Stark St, Suite 140, Gresham, OR 97030-8322 | 2007-03-26 |
| 1851461990 | Mischelle Mcmillan | Internal Medicine | 24988 Se Stark St, #220, Gresham, OR 97030-8322 | 2006-11-08 |
| 1336108208 | Michelle L John | Internal Medicine | 24988 Se Stark St, Suite 220, Gresham, OR 97030-8322 | 2006-03-20 |
| 1558354522 | Mth Clinic PC | Internal Medicine | 24988 Se Stark St, Ste 300, Gresham, OR 97030-8322 | 2005-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194991901 | Fredrick An | Hospitalist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2008-05-01 |
| 1770780165 | Long Earon Thao | Hospitalist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912386616 | Hospitalists of Oregon | Hospitalist | 1193 Cedar Ridge Dr, Eugene, OR 97401-1916 | 2015-05-27 |
| 1083977417 | Katrina G Hoffman | Hospitalist | 4600 Evergreen Pl Se, Albany, OR 97322-6182 | 2012-06-20 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1558532317 | Ee Lin Wan | Hospitalist | 2640 E Barnett Rd, #e-333, Medford, OR 97504-4301 | 2008-03-19 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1598241010 | Bernard Nicholas | Hospitalist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2018-07-17 |
| 1205338084 | Maricela Elena Bandel-ramirez | Hospitalist | 1700 E 19th St, The Dalles, OR 97058 | 2018-03-07 |
| 1114456217 | Temur Said | Hospitalist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2017-06-12 |
| 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.