GORDON WAYNE JONES (NPI# 1396962619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396962619 |
| Entity Type | Individual |
| Full Name | GORDON WAYNE JONES |
| Credential | LCDC BS |
| Practice Address |
1619 Washington Ave Waco TX 76701-1134 |
| Practice Telephone | 2547533626 |
| Practice Fax Number | 2547530715 |
| Mailing Telephone | 2547533626 |
| Mailing Fax Number | 2547530715 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417210212 | Gordon William Jones Sr. | Family Medicine | 1749 Old Fm 705, Broaddus, TX 75929-1749 | 2012-06-18 |
| 1437215464 | Gordon Wendell Jones | Radiologic Technologist | 2468 Birchwood Cir, Redding, CA 96002-3748 | 2006-12-27 |
| 1023015401 | Gordon K. Jones | Dentist | 1541 N Mckinley Rd, Lake Forest, IL 60045-1377 | 2005-06-30 |
| 1518051671 | Gordon Scott Jones | Orthopaedic Surgery | 670 Leigh Dr, Columbus, MS 39705-3014 | 2006-10-03 |
| 1720013311 | Gordon Scott Jones | Internal Medicine | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2006-07-11 |
| 1477513661 | Gordon Jones | Family Medicine | 461 S Nova Rd, Ormond Beach, FL 32174-6138 | 2006-03-23 |
| Street Address |
1619 WASHINGTON AVE |
| City | WACO |
| State | TX |
| Zip Code | 76701-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548487861 | Audrey Lyn Atkins | Counselor | 1619 Washington Ave, Waco, TX 76701-1134 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in zip 76701 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1982982294 | The Freeman Center | Substance Abuse Rehabilitation Facility | 2505 Washington Ave, Waco, TX 76710-7446 | 2011-08-03 |
| 1366535023 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3416 Hillcrest Dr, Waco, TX 76708 | 2006-10-02 |
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| 1730798893 | Starlite Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 | 2020-07-24 |
| 1043837644 | Alaine Detox Center LLC | Substance Abuse Rehabilitation Facility | 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 | 2020-06-30 |
| 1821614181 | Lighthouse Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 5344 Alpha Rd, Dallas, TX 75240-3428 | 2020-06-23 |
| 1306460266 | Revive F W | Substance Abuse Rehabilitation Facility | 10907 Martindale Rd, Houston, TX 77048-2011 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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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.