RONALD GLEN GORDON (NPI# 1255898102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255898102 |
| Entity Type | Individual |
| Full Name | RONALD GLEN GORDON |
| Credential | APRN, FNP-BC |
| Practice Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
| Mailing Address |
2572 Diane Ave Se Palm Bay FL 32909-6448 |
| Practice Telephone | 3217521491 |
| Mailing Telephone | 3215370298 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN9181705 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000215 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619082799 | Ronald F Gordon | Otolaryngology | 3955 Harrison Blvd Ste U5, Ogden, UT 84403-2398 | 2006-08-20 |
| 1306874151 | Ronald Gordon | Psychiatry & Neurology | 425 Old Courthouse Rd, New Hyde Park, NY 11040-1115 | 2006-06-29 |
| 1063460517 | Ronald S. Gordon | Emergency Medicine | 127 Public Sq, Suite 2400, Cleveland, OH 44114-1221 | 2006-05-05 |
| 1356303747 | Ronald D Gordon | Surgery | 3811 East Bell Road, Suite 208, Phoenix, AZ 85032 | 2006-04-03 |
| 1659453108 | Ronald Jeffery Gordon | Anesthesiology | Ucsd Medical Center, 200 W. Arbor Drive Mc 8770, San Diego, CA 92103 | 2006-10-20 |
| Street Address |
250 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848668 | Robert Bell | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2005-06-01 |
| 1619507209 | Necmo Pa | Internal Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2020-01-22 |
| 1811461007 | Ann Maria Thomas | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-01-22 |
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1437643640 | Caleb Quick | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-06-20 |
| 1538650940 | Lisa Collins Lancaster | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-05-21 |
| 1629565965 | Pietro Loesener | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-04-20 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
| 1801320718 | Steward Melbourne Hospital, Inc. | General Acute Care Hospital | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231985 | Kristy Mccoy Sharpe | Nurse Practitioner | 2032 Buescher Hill St, Melbourne, FL 32935-2170 | 2020-10-06 |
| 1326658840 | Deniece Santana | Nurse Practitioner | Health First Medical Group, LLC, 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2020-08-10 |
| 1891313334 | Kellie L Herrington | Nurse Practitioner | 1600 Sarno Rd Ste E, Melbourne, FL 32935-4938 | 2020-07-10 |
| 1871118455 | Denise M Marburger | Nurse Practitioner | 567 Trend Rd, Melbourne, FL 32904-7429 | 2020-06-10 |
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1932670510 | Susan Lynn Beattie | Nurse Practitioner | 4766 White Heron Dr, Melbourne, FL 32934-3293 | 2018-12-08 |
| 1831678994 | Joyce Colson | Nurse Practitioner | 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8564 | 2018-08-09 |
| 1104336577 | Peak Performance Medical | Nurse Practitioner | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2017-10-11 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1134676836 | Rachael Howard | Nurse Practitioner | 5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 | 2016-09-09 |
| Find all providers in MELBOURNE | ||||
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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.