DIANA JEANNE GORDON (NPI# 1326688607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326688607 |
| Entity Type | Individual |
| Full Name | DIANA JEANNE GORDON |
| Practice Address |
23 Industrial Blvd Paoli PA 19301-1601 |
| Practice Telephone | 6105780411 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP-044731-R | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028017 | Diana L Gordon | Occupational Therapy Assistant | 9132 Fox Estates Dr, Saint Louis, MO 63127-1402 | 2019-05-09 |
| 1902800600 | Diana L Gordon | Registered Nurse | 7920 Conser St, Overland Park, KS 66204-3460 | 2005-06-09 |
| 1134554785 | Diana M Gordon | Nurse Practitioner | 3212 Hampton Hwy, Suite B, Yorktown, VA 23693-4948 | 2013-09-13 |
| 1487948428 | Diana Corwin Gordon | Psychologist | 870 Market St, Suite 958, San Francisco, CA 94102-3099 | 2011-06-07 |
| 1336455062 | Diana W Gordon | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-08-18 |
| Street Address |
23 INDUSTRIAL BLVD |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144275769 | Steltz Pharmacy Inc | Pharmacy | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2006-05-23 |
| 1598306532 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2019-10-01 |
| 1316452998 | Tuynh V Nguyen | Pharmacist | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2017-12-05 |
| 1699167841 | Michael Yan | Pharmacist | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2015-02-25 |
| 1306987748 | Brian E. Steltz | Pharmacist | 23 Industrial Blvd, Paoli, PA 19301 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103786 | Jan Renee Kalk | Pharmacist | 735 N Gospel St, Paoli, IN 47454-1419 | 2020-10-30 |
| 1700426319 | Nicholas Katra | Pharmacist | 1564 E Lancaster Ave, Paoli, PA 19301-1505 | 2020-01-11 |
| 1629624713 | Danielle Smuck | Pharmacist | 930 N Gospel St, Paoli, IN 47454-9218 | 2019-08-14 |
| 1316452998 | Tuynh V Nguyen | Pharmacist | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2017-12-05 |
| 1790146801 | Linh My Nguyen | Pharmacist | 39 Leopard Rd, Paoli, PA 19301-1518 | 2016-03-16 |
| 1013378421 | Yoon Hee Park | Pharmacist | 39 Leopard Rd, Paoli, PA 19301-1518 | 2016-03-11 |
| 1699167841 | Michael Yan | Pharmacist | 23 Industrial Blvd, Paoli, PA 19301-1601 | 2015-02-25 |
| 1245576214 | Eric Condra | Pharmacist | 735 N Gospel St, Paoli, IN 47454-1419 | 2012-12-19 |
| 1700149960 | Kim Chin | Pharmacist | 152 E Lancaster Ave, Paoli, PA 19301-1422 | 2012-06-21 |
| 1639432891 | Sarah Jebet Koskei | Pharmacist | 152 E Lancaster Ave, Paoli, PA 19301-1422 | 2012-06-21 |
| Find all providers in PAOLI | ||||
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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.