LISA GORDON


Address: 800 Washington St, Boston, MA 02111-1552
Phone: 6176365000

LISA GORDON (NPI# 1235382714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235382714
Entity Type Individual
Full Name LISA GORDON
Credential PA
Practice Address 800 Washington St
Boston
MA 02111-1552
Practice Telephone 6176365000
Mailing Telephone 6176365000
Enumeration Date 2008-10-29
Last Update Date 2016-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA1249 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA GORDON

NPI Name Taxonomy Address Enumeration
1629551726 Lisa Gordon Counselor 1245 Mount Vernon Ave, Columbus, OH 43203-1578 2018-09-13
1639591548 Lisa Gordon Social Worker 9500 Arena Dr Ste 460c, Largo, MD 20774-3755 2014-01-11
1063504041 Lisa Jane Gordon Chiropractor 5053 Durham Rd W, Columbia, MD 21044-1449 2006-09-28
1912921966 Lisa Green Gordon Psychiatry & Neurology 219 W. Patrick Street, Suite 100, Behavioral Health Partners, Inc., Frederick, MD 21701 2006-07-26
1992723910 Lisa Joy Gordon Social Worker 5904 E Bramble Berry Ln, Cave Creek, AZ 85331-1577 2006-07-17
1861478984 Lisa A Gordon Family Medicine 108 Belmont St, Worcester, MA 01605-4902 2005-12-20
1154981967 Lisa Barbara Gordon Speech-Language Pathologist 8301 161st Ave Ne Ste 208, Redmond, WA 98052-3858 2019-06-14
1003272881 Lisa Gordon Speech-Language Pathologist 1010 E 10th St, Tucson, AZ 85719-5813 2016-01-08
1497187744 Lisa Gordon Nurse Practitioner 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 2013-08-08
1871895250 Lisa Gordon Counselor 2225 N Charles St, Baltimore, MD 21218-5778 2010-11-17

Office Location

Street Address 800 WASHINGTON ST
City BOSTON
State MA
Zip Code 02111-1552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306848643 Christopher B. Geary Orthopaedic Surgery 800 Washington St, Box 306, Boston, MA 02111-1552 2005-06-01
1720687767 Johnson Ching Pharmacist 800 Washington St, Boston, MA 02111-1552 2020-10-21
1174120075 Sarah Woodruff Nurse Practitioner 800 Washington St, Boston, MA 02111-1552 2020-10-04
1255946448 Tufts Medical Center Surgery 800 Washington St, Boston, MA 02111-1552 2020-09-14
1639784408 Pankaj Jain Internal Medicine 800 Washington St, Boston, MA 02111-1552 2020-09-09
1053926907 Arlind Decka Surgery 800 Washington St, Boston, MA 02111-1552 2020-09-08
1518571124 Abdulrahman Mohammad Alshiban Psychiatry & Neurology 800 Washington St, Boston, MA 02111-1552 2020-09-01
1922610229 Taylor Elizabeth Maffett Nurse Practitioner 800 Washington St, Boston, MA 02111-1552 2020-08-18
1467063685 Heather April Mills Tong Physical Therapist 800 Washington St, Boston, MA 02111-1552 2020-08-11
1245840032 Lindsey Holland Nurse Practitioner 800 Washington St, Boston, MA 02111-1552 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780235333 Emily Fregeau Physician Assistant 1 Canal St Unit 518, Boston, MA 02114-2053 2019-09-25
1255853917 Jessica Amy Casper Physician Assistant 110 Francis St., Lmob Suite 3b, Beth Israel Deaconess Medical Center, Neurosurgery Dept, Boston, MA 02215 2017-07-13
1760884688 Brian Patrick Abbott Physician Assistant 17 Tileston St, Apt 4, Boston, MA 02113-1950 2014-09-23
1043489560 Pamela Veronica Maingon Physician Assistant 20 Lime St Apt 2, Boston, MA 02108-1117 2008-02-28
1962558585 Lori Heather Sinclair Physician Assistant Mass General Hospital 55 Fruit Street, Cox 630, Boston, MA 02114 2007-01-26
1013531789 Jillian Hamlin Physician Assistant 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-05-29
1578102455 Madison Altwies Physician Assistant 75 Francis St, Boston, MA 02115-6106 2019-12-25
1205482551 Kendra King Physician Assistant 75 Francis St, Boston, MA 02115-6106 2019-08-13
1124598396 Rebecca Jayne Moriarty Physician Assistant 75 Francis St, Boston, MA 02115-6110 2018-11-30
1689151516 Thomas Doucette Physician Assistant 75 Francis St, Boston, MA 02115-6110 2018-07-24
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Competitor

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City BOSTON
Zip Code 02111

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Dataset Information

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.

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