DR. MARK R. GORDON (NPI# 1275528887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275528887 |
Entity Type | Individual |
Full Name | DR. MARK R. GORDON |
Credential | M.D. |
Practice Address |
620 10th Street N. St Petersburg FL 33705-1407 |
Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
Practice Telephone | 7278247146 |
Practice Fax Number | 7278247119 |
Mailing Telephone | 7275321355 |
Mailing Fax Number | 7272664928 |
Enumeration Date | 2005-09-20 |
Last Update Date | 2014-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | ME20691 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 058923300 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497183404 | Mark Gordon | Homemaker | 16938 S Dixie Hwy, Palmetto Bay, FL 33157-4354 | 2013-10-30 |
1750409629 | Mark A Gordon | Physician Assistant | 13601 Wood Forest Blvd, Houston, TX 77015 | 2007-03-27 |
1356365126 | Mark Richard Gordon | Dentist | 2121 Eisenhower Ave, Suite 502, Alexandria, VA 22314-4698 | 2006-07-26 |
1568420099 | Mark Jay Gordon | Optometrist | 978 Colvin Blvd, Kenmore, NY 14217-2128 | 2006-05-03 |
1396734331 | Mark Howard Gordon | Dentist | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2005-10-20 |
1386643740 | Mark J Gordon | Dentist | 4121 W 83rd St, Suite 212, Prairie Village, KS 66208-5300 | 2005-07-19 |
1528489184 | Mark Gordon | Nurse Anesthetist, Certified Registered | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2013-12-30 |
1841576543 | Mark Gordon | Pharmacist | 1305 N Casaloma Dr, Grand Chute, WI 54913-8848 | 2011-10-25 |
1306987946 | Mark Lorry Gordon | Family Medicine | 16661 Ventura Blvd, Suite 716, Encino, CA 91436-1914 | 2007-02-08 |
1891869202 | Mark Gordon | Optometrist | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1364 | 2006-11-17 |
Street Address |
620 10TH STREET N. |
City | ST PETERSBURG |
State | FL |
Zip Code | 33705-1407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659363836 | Raquelle Alexander | Allergy & Immunology | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-08-16 |
1033474184 | Lataura Atwell-small | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2012-07-05 |
1639478589 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 620 10th Street N., St Petersburg, FL 33705-1407 | 2011-03-17 |
1245466093 | Timi Donn Maloney | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2009-06-08 |
1194986281 | Amy Bolton Koenig Strickland | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2008-06-20 |
1255536702 | Vicki Marie Connell | Audiologist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-06-15 |
1083759849 | Roger Covey | Physical Therapist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-02-20 |
1528153392 | Richard F. Blanchard | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-10-04 |
1982683678 | Mihaela Soran | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-01-11 |
1417943598 | Mark W. Smith | Optometrist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
Find all providers in zip 33705 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316386865 | Adam Oppenheim | Urology | 830 Central Ave Ste 100, St Petersburg, FL 33701 | 2013-06-18 |
1902145071 | Seymour Manzon | Urology | 1978 Dolphin Blvd S, St Petersburg, FL 33707-3810 | 2013-02-08 |
1710114509 | Robert L Helmling | Urology | 2540 E Bay Isle Dr Se, St Petersburg, FL 33705 | 2009-06-18 |
1760434054 | Robert S Spiegel | Urology | 763 Live Oak Ter Ne, St Petersburg, FL 33703-3163 | 2006-05-16 |
1568426682 | Pinellas Urology, Inc. | Urology | 5747 38th Ave N, St Petersburg, FL 33710-1925 | 2006-04-14 |
1467857607 | Medical Specialists of Florida Pllc | Urology | 830 Central Ave, Suite 100, St Petersburg, FL 33701-3622 | 2014-10-30 |
1033401997 | Rishi Ashok Modh | Urology | 5747 38th Ave N, St Petersburg, FL 33710-1925 | 2011-05-11 |
1235368077 | Joseph Insoft | Urology | 5747 38th Ave N, St Petersburg, FL 33710-1925 | 2009-07-14 |
1114161320 | Jaimin Girish Shah | Urology | 620 10th St N, Suite 3d, St Petersburg, FL 33705-1407 | 2009-05-01 |
1932375821 | Marguerite Thomer | Urology | 620 10th St N, St Petersburg, FL 33705-1407 | 2008-05-01 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33705 |
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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.