SCOTT M GORDON


Address: 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570
Phone: 4177821910

SCOTT M GORDON (NPI# 1427049980) 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) 1427049980
Entity Type Individual
Full Name SCOTT M GORDON
Credential M.S.
Practice Address 2702 Cunningham Ave
Ste A
Joplin
MO 64804-1570
Practice Telephone 4177821910
Practice Fax Number 4177821844
Mailing Telephone 4177821910
Mailing Fax Number 4177821844
Enumeration Date 2005-11-03
Last Update Date 2014-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
01320 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200675910A 05
MO 493299218 05
OK 100840070A 05

Other Providers SCOTT GORDON

NPI Name Taxonomy Address Enumeration
1497024475 Scott Michael Gordon Dentist 1238 N Main Ave, Scranton, PA 18508-2130 2011-12-21
1316233992 Scott Robert Gordon Spec/Tech, Pathology 330 Merlot Dr # 41, Prosser, WA 99350-9551 2011-06-22
1164745824 Scott William Gordon Podiatrist 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 2010-03-10
1306003058 Scott S Gordon Physician Assistant 700 West Broadway, Fritch, TX 79036-1570 2008-05-20
1588765002 Scott Jason Gordon Counselor 174 Blue Grass Ct, Angier, NC 27501-6861 2006-09-26
1821038159 Scott Gordon Psychiatry & Neurology 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2006-06-07
1083612071 Scott Thomas Gordon Dentist 3905 Rr 620 N, Austin, TX 78734-2120 2005-07-13
1487003646 Scott Morris Gordon Hearing Instrument Specialist 6091 Linglestown Rd, Harrisburg, PA 17112-1208 2016-06-08
1649679259 Scott Gordon Counselor 4721 Reading Rd, Cincinnati, OH 45237-6107 2014-08-19
1487080685 Scott Gordon Case Manager/Care Coordinator 504 Lakeland Rd, Shawano, WI 54166-3836 2013-09-19

Office Location

Street Address 2702 CUNNINGHAM AVE
STE A
City JOPLIN
State MO
Zip Code 64804-1570

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689668345 Stacy Ann Bray Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-09-08
1194960377 Vickie Marie Cupp Social Worker 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2008-12-02
1144379926 Jeanie Joanne Hight Counselor 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2007-01-09
1912085291 Lindsey Katherine Brooks Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2006-11-02
1669481495 Behavior Management PC Inc Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2006-08-08
1043201221 Douglas A Brooks Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-11-04
1699766089 Jerry W Walker Counselor 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033718903 Lisa Jo Moore Nurse Practitioner 2623 S Main Street, Nixa, MO 64804 2020-10-22
1346859600 Centered and Connected LLC Counselor 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 2020-07-23
1649838780 Nicole Lynn Egan Social Worker 3010 Mcclelland, Joplin, MO 64804 2019-06-04
1902361652 Redings Mill Internal Care Clinic/Center 454 Redings Mill Rd, Joplin, MO 64804 2019-02-06
1447732508 Urgent Care Travel, Inc Clinic/Center 5931 E 32nd Street, Joplin, MO 64804 2018-09-05
1912488891 Karl G. Keczkemethy Dietitian, Registered 100 Mercy Way Ste 570, Joplin, MO 64804 2018-08-28
1790207546 Jacksie Short Dentist 2819 E 29th St, Joplin, MO 64804 2017-07-13
1326574625 Kristine Kwon Rowland Nurse Practitioner 100 Mercy Way Ste 320-330, Joplin, MO 64804 2017-05-05
1942735212 West R Loveland Counselor 3230 S Wisconsin St Suite H, Joplin, MO 64804 2017-04-25
1174070205 Tracy L Fry Nurse Practitioner 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 2016-09-07
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104223940 Partners In Parenting Excellence LLC Psychologist 2906 S Main St, Joplin, MO 64804-2639 2014-11-21
1114918661 John R Graue II Psychologist 1505 E 20th St, Joplin, MO 64804-0928 2005-11-03
1366677072 Robert Dale Mcdermid Psychologist 2727 Mcclelland Blvd, Joplin, MO 64804-1626 2009-05-26
1669481495 Behavior Management PC Inc Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487252789 Karen Sue Johnson Psychologist 1706 Nw 63rd Ter, Kansas City, MO 64118-3000 2020-10-09
1124675160 Integrative Mind Institute, LLC Psychologist 7750 Clayton Rd Ste 303, Richmond Heights, MO 63117-1341 2019-08-23
1063972081 Marianela Dornhecker Psychologist 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 2019-03-25
1255813002 Rimiko Thomas Psychologist 19 Ranchview Dr, Florissant, MO 63033-8043 2018-08-29
1861995680 Chrisanthia Brown Psychologist 800 W 47th St Ste 630, Kansas City, MO 64112-1373 2018-03-18
1518483825 Consuelo Maturana Psychologist 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 2017-08-17
1922520394 Ivorie D Chambers Psychologist 10439 Gardo Court, Saint Louis, MO 63137 2017-07-07
1801251764 Douglas H Fehr Psychologist 1504 Se Cape Dr, Lees Summit, MO 64081-2180 2015-12-19
1205222346 David L Schlink & Associates Psychological Services LLC Psychologist 2017 E Lark St, Springfield, MO 65804-6745 2015-04-14
1194140756 Emergence Psychological Services Psychologist 1131 Thornwood Dr, Saint Louis, MO 63124-1227 2014-02-19
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Competitor

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City JOPLIN
Zip Code 64804

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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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