MRS. KIMBERLY ROCHELLE GORDON (NPI# 1245407709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245407709 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ROCHELLE GORDON |
| Credential | SURGICAL ASSISTANT |
| Practice Address |
3002 Gill St Ste 3 Bloomington IL 61704-3438 |
| Mailing Address |
1213 Riviera Dr Bloomington IL 61701-7309 |
| Practice Telephone | 3098464716 |
| Mailing Telephone | 3092426439 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1679131676 | Kimberly E Gordon | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-04 |
| 1649767989 | Kimberly Gordon | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2018-04-20 |
| 1396266904 | Kimberly T Gordon | Counselor | 810 Classon Ave, Brooklyn, NY 11238-6102 | 2017-07-05 |
| 1427590926 | Kimberly Gordon | Nurse Practitioner | 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 | 2016-11-15 |
| 1073974721 | Kimberly Marie Gordon | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2016-03-09 |
| 1134500473 | Kimberly Allison Gordon | Pharmacist | 1550 Gateway Blvd, Fairfield, CA 94533-6901 | 2015-06-12 |
| 1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
| 1184999880 | Kimberly Anne Gordon | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-03-13 |
| Street Address |
3002 GILL ST STE 3 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760173 | Krista L Ruestman | Specialist/Technologist, Other | 3002 Gill St Ste 3, Bloomington, IL 61704-3438 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871739524 | Lori J. Vonbehren | Specialist/Technologist, Other | 9552 Yukon Cir S, Bloomington, MN 55438-1645 | 2008-12-31 |
| 1891837696 | Ronald Aurthur Degon | Specialist/Technologist, Other | 1804 Glenbridge Rd, Bloomington, IL 61704-8769 | 2007-02-12 |
| 1306284369 | Aaron James Rossi | Specialist/Technologist, Other | 3801 Ge Rd Ste 4, Bloomington, IL 61704 | 2013-06-11 |
| 1538316815 | Peggy Jean Ziel | Specialist/Technologist, Other | 3002 Gill St, Suite #3, Bloomington, IL 61704-3438 | 2008-08-19 |
| 1609022292 | Therese Marie Lesmeister | Specialist/Technologist, Other | 3002 Gill St, Suite#3, Bloomington, IL 61704-3438 | 2008-08-14 |
| 1194971846 | Melissa Louise Parochetti | Specialist/Technologist, Other | 3002 Gill St, Suite#3, Bloomington, IL 61704-3438 | 2008-08-13 |
| 1578722724 | Amber Deshea Lee | Specialist/Technologist, Other | 3002 Gill St, Suite #3, Bloomington, IL 61704-3438 | 2008-06-03 |
| 1487812178 | Paula Delores Malone | Specialist/Technologist, Other | 3002 Gill St, Suite #3, Bloomington, IL 61704-3438 | 2008-05-29 |
| 1871760173 | Krista L Ruestman | Specialist/Technologist, Other | 3002 Gill St Ste 3, Bloomington, IL 61704-3438 | 2008-05-15 |
| 1689841835 | Deanne Marie Burnett | Specialist/Technologist, Other | 3002 Gill St, Suite 3, Bloomington, IL 61704 | 2008-05-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.