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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
01320 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 200675910A | 05 | |
MO | 493299218 | 05 | |
OK | 100840070A | 05 |
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 |
Street Address |
2702 CUNNINGHAM AVE STE A |
City | JOPLIN |
State | MO |
Zip Code | 64804-1570 |
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 |
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 |
Find all providers in zip 64804 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
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 |
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.