KIMBERLY R GORDON


Address: 701 N 1st St, Anesthesia Department, Springfield, IL 62781-0002
Phone: 2177883754

KIMBERLY R GORDON (NPI# 1417125428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417125428
Entity Type Individual
Full Name KIMBERLY R GORDON
Credential CRNA
Practice Address 701 N 1st St
Anesthesia Department
Springfield
IL 62781-0002
Practice Telephone 2177883754
Practice Fax Number 2177887071
Mailing Telephone 2177883754
Mailing Fax Number 2177887071
Enumeration Date 2008-02-12
Last Update Date 2008-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ANCC CERTIFICATION 079203 01

Other Providers KIMBERLY GORDON

NPI Name Taxonomy Address Enumeration
1124627666 Kimberly Gordon Counselor 24 Sheehan Rd, Warren, CT 06777-1008 2020-10-24
1245407709 Kimberly Rochelle Gordon Specialist/Technologist, Other 3002 Gill St Ste 3, Bloomington, IL 61704-3438 2008-05-14
1679131676 Kimberly E Gordon Behavioral Analyst 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 2019-06-04
1649767989 Kimberly Gordon Behavior Technician 8019 Ne 13th Ave, Vancouver, WA 98665-9604 2018-04-20
1396266904 Kimberly T Gordon Counselor 810 Classon Ave, Brooklyn, NY 11238-6102 2017-07-05
1427590926 Kimberly Gordon Nurse Practitioner 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 2016-11-15
1073974721 Kimberly Marie Gordon Licensed Practical Nurse 7 Seafield Ln, Westhampton Beach, NY 11978-2714 2016-03-09
1134500473 Kimberly Allison Gordon Pharmacist 1550 Gateway Blvd, Fairfield, CA 94533-6901 2015-06-12
1316338221 Kimberly Gordon Registered Nurse 31 Hosier St, Selbyville, DE 19975 2015-02-13
1952742660 Kimberly Beth Gordon Physician Assistant 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 2013-07-10

Office Location

Street Address 701 N 1ST ST
ANESTHESIA DEPARTMENT
City SPRINGFIELD
State IL
Zip Code 62781-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607123 Memorial Home Services Home Health 701 N 1st St, Springfield, IL 62781-4952 2005-05-23
1316552524 Mary Ann Seagle Nurse Practitioner 701 N 1st St, Springfield, IL 62781-0001 2020-09-14
1497372361 Amir Mcphearson Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-26
1508482597 Kirsten Kay Carew Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-25
1699391482 Aruya Davis Registered Nurse 701 N 1st St, Springfield, IL 62781-0001 2020-06-17
1497370852 Alyssa Rose Jimerson Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-11
1649895038 Elisha Boyd Nurse Practitioner 701 N 1st St, Springfield, IL 62702-3757 2020-06-10
1275158990 Ashley L Mcgrath Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-09
1205451812 Christopher Evan Bejcek Orthopaedic Surgery 701 N 1st St, Springfield, IL 62702-3757 2020-06-09
1912521790 Neil Carter Parker Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104145747 Justin Neil Henry Hospitalist 701 N 1st St Rm B146, Springfield, IL 62781 2010-05-21
1457464208 Edward J Ryan Poje Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-16
1649285453 Sanjai Nagendra Pathology 701 N First Street, Springfield, IL 62781 2006-07-30
1770518706 Daniel L Stanton Jr. Radiology 701 N. First St, Springfield, IL 62781 2006-07-11
1497914741 Ted Robert Clark Emergency Medicine 701 N. 1st Street, Springfield, IL 62781 2008-06-03
1851486393 Joan Lewis Nurse Practitioner 701 N First St, Springfield, IL 62781 2006-10-03
1548363138 Pathology Associates of Central Illinois Ltd Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-09-07
1962511931 Chad Joseph Defrain Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-30
1346359320 Nassim Banisaeed Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-30
1922111772 John E Murphy Pathology 701 N First Street, Memorial Medical Center, Springfield, IL 62781 2006-08-16
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629536271 Cameron David Hayter Nurse Anesthetist, Certified Registered 1951 N Citation Ave, Springfield, MO 65802-5406 2019-03-03
1154886810 Pioneer Sedation Pllc Nurse Anesthetist, Certified Registered 3550 Main St Ste 103, Springfield, MA 01107-1077 2019-02-07
1487158390 Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 2018-03-23
1720325467 Douglas Hedge Baker II Nurse Anesthetist, Certified Registered 100 W North St, Springfield, OH 45504-2547 2013-01-15
1396000816 Kyle Adam Kirby Nurse Anesthetist, Certified Registered 875 E Jackson Rd, Springfield, OH 45502-7403 2012-07-10
1134232077 Anicia Boutin Young Nurse Anesthetist, Certified Registered 55 St George Rd, Springfield, MA 01104 2006-08-16
1669482196 Leslie Gloe Nurse Anesthetist, Certified Registered 5047 S Burrows Ave, Springfield, MO 65810-2054 2006-08-08
1164431805 William Wynn IIi Nurse Anesthetist, Certified Registered 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 2006-08-05
1124089669 Elise B Arnold Nurse Anesthetist, Certified Registered 701 N. 1st Street, Springfield, IL 62781-0001 2006-03-31
1669432415 Stephen W Wagner Jr. Nurse Anesthetist, Certified Registered 701 N Ist St, Springfield, IL 62781-0001 2006-03-24
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Competitor

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City SPRINGFIELD
Zip Code 62781

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Dataset Information

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.

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