DR. DAVID WAYNE GORDON (NPI# 1396755617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396755617 |
| Entity Type | Individual |
| Full Name | DR. DAVID WAYNE GORDON |
| Credential | PH.D. |
| Practice Address |
1611 Colley Ave Ste D Norfolk VA 23517-1677 |
| Practice Telephone | 7572889741 |
| Practice Fax Number | 7576252563 |
| Mailing Telephone | 7572889741 |
| Mailing Fax Number | 7576223944 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810000716 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 00707452 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060600 | David Hirsch Gordon | Emergency Medicine | Stony Brook Medicine - Em 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794 | 2015-04-07 |
| 1619300852 | David Alan Gordon | Veterinarian | 2960 San Luis Rey Rd, Oceanside, CA 92058-1241 | 2013-08-12 |
| 1386994440 | David A Gordon | Dentist | 255 S Grand Ave Apt 2108, Los Angeles, CA 90012-3045 | 2012-09-17 |
| 1962799791 | David Gordon | Veterinarian | 720 Valencia St, San Francisco, CA 94110-1735 | 2011-06-30 |
| 1730398777 | David Jay Gordon | Physical Therapist | 237 Winthrop St. Rt. 44, Personal Best Physical Therapy, Rehoboth, MA 02769 | 2007-05-22 |
| 1821133554 | David E Gordon | Social Worker | 4476 Main Street, Suite 208, Amherst, NY 14226 | 2007-02-20 |
| 1992879407 | David W Gordon | Optometrist | 851 N Hollywood Way, Burbank, CA 91505-2814 | 2006-11-17 |
| 1568534501 | David Gordon | Nuclear Medicine | 825 Bungalow Ln, Mattituck, NY 11952-2209 | 2006-11-14 |
| 1407949332 | David Lee Gordon | Specialist | 4530 Southlake Pkwy # A, Birmingham, AL 35244-3237 | 2006-10-02 |
| 1518058775 | David Kent Gordon II | Family Medicine | 1058 W. Perimeter Road, Joint Base Andrews, MD 20762 | 2006-09-27 |
| Street Address |
1611 COLLEY AVE STE D |
| City | NORFOLK |
| State | VA |
| Zip Code | 23517-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
| 1578798849 | East End Academy Inc Southside | Clinic/Center | 2607 Colonial Avenue, Norfolk, VA 23517 | 2009-05-15 |
| 1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
| 1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
| 1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
| 1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
| Find all providers in zip 23517 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814639 | The Children and Adult Counseling Center LLC | Psychologist | 930 Majestic Ave Ste 100, Norfolk, VA 23504-4055 | 2020-06-08 |
| 1912409467 | Megan Lurae Mcvea | Psychologist | 400 Gresham Dr. Suite 900, Norfolk, VA 23507-1992 | 2018-03-01 |
| 1033666409 | Adelia Gregoire LLC | Psychologist | 6126 Studeley Ave, Norfolk, VA 23508-1032 | 2016-09-02 |
| 1053707786 | Takeshia Vernice Williams | Psychologist | 400 Gresham Dr Ste 907, Norfolk, VA 23507-1921 | 2015-04-09 |
| 1992145338 | Lisa Anne Mazzio | Psychologist | 1600 Colonial Ave, Norfolk, VA 23517-2020 | 2013-06-30 |
| 1689975054 | Diana Whitney Schofield | Psychologist | 1307 Hampton Blvd, Norfolk, VA 23517-1709 | 2010-11-16 |
| 1821328550 | Janette Marie Mance-khourey | Psychologist | 321 Duke St Apt 112, Norfolk, VA 23510-1267 | 2009-12-31 |
| 1578708046 | David Andrew Mitchell | Psychologist | 1306 N 13th St Ste 102, Norfolk, NE 68701-2591 | 2008-12-11 |
| 1700075447 | Rebecca A Thomas, Psyd & Associates, P.C. | Psychologist | 838 Granby St, Norfolk, VA 23510-2051 | 2007-10-18 |
| 1225186760 | Janice Marie Keener | Psychologist | 400 Gresham Dr Ste 900, Norfolk, VA 23507 | 2007-01-08 |
| Find all providers in NORFOLK | ||||
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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.