DR. CHARLES KENNETH GORDON (NPI# 1447282355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447282355 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KENNETH GORDON |
| Credential | D.O. |
| Practice Address |
1604 Hospital Pkwy Suite 409 Bedford TX 76022-6986 |
| Practice Telephone | 8712831947 |
| Practice Fax Number | 8172832066 |
| Mailing Telephone | 8712831947 |
| Mailing Fax Number | 8172832066 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | F6681 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692769 | Charles Gordon | Physical Therapist | 29 Center St Ste 1, Goffstown, NH 03045-2948 | 2015-03-03 |
| 1811019268 | Charles Thomas Gordon IIi | Psychiatry & Neurology | 11204 Farmland Dr, Rockville, MD 20852-4522 | 2007-04-05 |
| 1821103631 | Charles Albert Gordon | Physical Medicine & Rehabilitation | 1059 S Fairfax Ave, Los Angeles, CA 90019-4402 | 2006-08-20 |
| 1831164722 | Charles G. Gordon | Dentist | 1026 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2006-02-22 |
| 1649243890 | Charles F Gordon | Anesthesiology | 9 Old Plank Rd Ste 100, Clifton Park, NY 12065-3107 | 2006-02-08 |
| 1326049529 | Charles Richard Gordon | Family Medicine | 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 | 2005-08-10 |
| 1750858700 | Charles Gordon | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2018-10-29 |
| 1134642655 | Charles Gordon | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2017-07-18 |
| 1114382025 | Charles Gordon Jr. | Physician Assistant | 315 S Manning Blvd, Albany, NY 12208-1707 | 2015-12-18 |
| 1275825135 | Charles Marvin Gordon Jr. | Orthopaedic Surgery | 1505 Daphne Ave, Daphne, AL 36526 | 2011-05-11 |
| Street Address |
1604 HOSPITAL PKWY SUITE 409 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145547 | Donald L Washington Jr. | Internal Medicine | 1604 Hospital Pkwy, Ste 403, Bedford, TX 76022-6932 | 2005-09-23 |
| 1174070338 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 1604 Hospital Pkwy, Suite 308, Bedford, TX 76022-6986 | 2016-09-06 |
| 1952728305 | Marc Joseph Delara | Podiatrist | 1604 Hospital Pkwy, Ste 309, Bedford, TX 76022-6931 | 2014-03-24 |
| 1306262878 | Pinnacle Anesthesia Consultants, Pa | Anesthesiology | 1604 Hospital Pkwy, Ste 308, Bedford, TX 76022-6986 | 2014-03-08 |
| 1801107263 | Ms Neurological Center, Pllc | Psychiatry & Neurology | 1604 Hospital Pkwy, Suite 200, Bedford, TX 76022-6986 | 2010-06-30 |
| 1366688301 | Marguerite Wilson Addison | Nurse Practitioner | 1604 Hospital Pkwy, Ste. 507, Bedford, TX 76022-6986 | 2008-12-22 |
| 1477717759 | Luke Anthony Barker | Ophthalmology | 1604 Hospital Pkwy, Suite 104, Bedford, TX 76022-6986 | 2008-07-15 |
| 1720285232 | Sherri Lea Haag | Physician Assistant | 1604 Hospital Pkwy, Suite 505, Bedford, TX 76022-6986 | 2007-06-28 |
| 1699893180 | Hadi R Tajani Md Pa | Specialist | 1604 Hospital Pkwy, Ste. 507, Bedford, TX 76022-6986 | 2007-03-26 |
| 1568580066 | Martin B Fisher Md Pa | Psychiatry & Neurology | 1604 Hospital Pkwy, Ste. 507, Bedford, TX 76022-6986 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831476142 | Mark Edward Scroggins, M.d. P.a. | Obstetrics & Gynecology | 2612 Harwood Rd Ste A, Bedford, TX 76021-8308 | 2011-11-15 |
| 1295064079 | Jill Leslie Becker | Obstetrics & Gynecology | 165 Millertown Rd, Bedford, NY 10506-1306 | 2009-12-08 |
| 1790930444 | Sergio M Arambulo | Obstetrics & Gynecology | 8 French Dr, Bedford, NH 03110-5717 | 2008-11-21 |
| 1659490837 | University Primary Care Practices Inc | Obstetrics & Gynecology | 50 Blaine Ave # 2100, Bedford, OH 44146-2709 | 2007-03-28 |
| 1114057189 | Aegis Women's Healthcare | Obstetrics & Gynecology | 2125 West 16th Street, Bedford, IN 47421-3003 | 2007-03-07 |
| 1306956446 | Laszlo Sogor | Obstetrics & Gynecology | 19550 Rockside Rd, Bedford, OH 44146-2083 | 2006-08-30 |
| 1639105505 | Stephen James Farmer | Obstetrics & Gynecology | 3001 Airport Fwy Ste A, Bedford, TX 76021-6012 | 2006-06-23 |
| 1508811274 | Kristen M Vallery | Obstetrics & Gynecology | 1615 Hospital Pkwy Ste 100, Bedford, TX 76022-5935 | 2006-05-23 |
| 1699728840 | Mark Edward Scroggins | Obstetrics & Gynecology | 2612 Harwood Rd, Bedford, TX 76021-8308 | 2006-05-18 |
| 1386601961 | Karen B Wesselhoeft | Obstetrics & Gynecology | 201 Riverway Place, Bedford, NH 03110 | 2006-04-27 |
| Find all providers in BEDFORD | ||||
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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.