DAVID LEE GORDON (NPI# 1407949332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407949332 |
| Entity Type | Individual |
| Full Name | DAVID LEE GORDON |
| Credential | M.D. |
| Practice Address |
4530 Southlake Pkwy # A Birmingham AL 35244-3237 |
| Practice Telephone | 2059872845 |
| Practice Fax Number | 2059879407 |
| Mailing Telephone | 2059872845 |
| Mailing Fax Number | 2059879407 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9865 | AL | Other Service Providers |
| 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 |
| 1518058775 | David Kent Gordon II | Family Medicine | 1058 W. Perimeter Road, Joint Base Andrews, MD 20762 | 2006-09-27 |
| 1487757308 | David Michael Gordon | Dentist | 23 Rotary Way, Vallejo, CA 94591-8475 | 2006-09-06 |
| Street Address |
4530 SOUTHLAKE PKWY # A |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35244-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
Please comment or provide details below to improve the information on DAVID LEE GORDON.
| 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.