LISA GORDON (NPI# 1235382714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
800 WASHINGTON ST |
City | BOSTON |
State | MA |
Zip Code | 02111-1552 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 02111 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
Find all providers in BOSTON |
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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.