MR. EDWARD GORDON JR. (NPI# 1386278596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386278596 |
| Entity Type | Individual |
| Full Name | MR. EDWARD GORDON JR. |
| Practice Address |
2472 Chateau Ln Tallahassee FL 32311-5604 |
| Mailing Address |
115 S Pinetree Blvd Apt 1205 Bldg 12 Thomasville GA 31792-7175 |
| Practice Telephone | 8508964709 |
| Mailing Telephone | 2292215073 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369848 | Edward S. Gordon | Family Medicine | 105 Beech Ct, Hudson Oaks, TX 76087-9447 | 2011-04-21 |
| 1598753006 | Edward Gordon | Psychiatry & Neurology | 388 Hardscrabble Rd, North Salem, NY 10560-1020 | 2005-10-10 |
| 1609026434 | Edward Francis Gordon | Acupuncturist | 2812 Santa Monica Blvd, Suite 208, Santa Monica, CA 90404-2476 | 2008-09-29 |
| 1063561488 | Edward S. Gordon | Obstetrics & Gynecology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-01-09 |
| 1891727830 | Edward I. Gordon | Family Medicine | 2003 Cobb St, Farmville, VA 23901-2603 | 2006-07-07 |
| Street Address |
2472 CHATEAU LN |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32311-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154972230 | George Wesly Carthon IIi | Technician | 2472 Chateau Ln, Tallahassee, FL 32311-5604 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612486 | Christopher Bouyer | Social Worker | 3909 Reserve Drive, 525, Tallahassee, FL 32311 | 2018-03-12 |
| 1487184354 | Felicia Denise Cooper I | Nurse Practitioner | 1033 High Meadow Drive, Tallahassee, FL 32311 | 2017-06-14 |
| 1447599394 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1970 Gainsborough Drive, Suite 2, Tallahassee, FL 32311 | 2013-02-12 |
| 1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
| 1376713248 | Kathryn B Lord | Psychologist | 3045 Dickinson Dr, Tallahassee, FL 32311 | 2008-03-07 |
| 1235200031 | Heritage Family Care,llc | Family Medicine | 1910 Hillbrook Trail, Suite 2, Tallahassee, FL 32311 | 2006-11-13 |
| 1215047675 | Board of County Commissioners Leon County | Ambulance | 911 Easterwood Dr, Tallahassee, FL 32311 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1275055378 | Punita Kapadia | Optometrist | 3535 Apalachee Pkwy, Tallahassee, FL 32311 | 2017-07-10 |
| 1912354283 | Daniel Bernabe Jr. | Family Medicine | 3900 Esplanade Way, Tallahassee, FL 32311 | 2016-05-17 |
| Find all providers in zip 32311 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065975 | Kimberly Michelle Roberts | Technician | 3091 Hawks Landing Drive, Tallahassee, FL 32309 | 2019-10-24 |
| 1154972230 | George Wesly Carthon IIi | Technician | 2472 Chateau Ln, Tallahassee, FL 32311-5604 | 2019-09-20 |
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1538719679 | Karen Minder | Technician | 5607 Wagon Wheel Cir N, Tallahassee, FL 32317-7442 | 2019-09-19 |
| 1558911016 | Valerie Michelle Lewis | Technician | 12514 Moccasin Gap Road, Tallahassee, FL 32309 | 2019-09-17 |
| 1114222684 | Linda Hoover Sutton | Technician | 5522 Hampton Oak Pl, Bldg A, Tallahassee, FL 32311-8122 | 2011-01-14 |
| 1154727261 | Kimberly Evers | Technician | 438 W Brevard St, Tallahassee, FL 32301-1004 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32311 |
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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.