MICHELLE LENO GORDON (NPI# 1487697975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487697975 |
| Entity Type | Individual |
| Full Name | MICHELLE LENO GORDON |
| Credential | MD |
| Practice Address |
12040 Ne 128th St Ms #105 Kirkland WA 98034-3013 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4258992560 |
| Practice Fax Number | 4258992079 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00039003 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BSWA | 8857GO | 01 |
| WA | 8276743 | 05 | |
| WA | LIWA | 0143740 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562941 | Michelle Gordon | Intermediate Care Facility, Mentally Retarded | 15314 Willview Rd, Missouri City, TX 77489-2403 | 2019-01-23 |
| 1174897524 | Michelle L Gordon | Contractor | 1409 Craig Blvd, Edmond, OK 73003-3135 | 2012-03-02 |
| 1316150899 | Michelle Lea Gordon | Counselor | 100 Dar Dr., Crossnore, NC 28616-0249 | 2007-05-08 |
| 1295770907 | Michelle Elaine Gordon | Specialist | 11 Peekskill Hollow Rd # 97, Putnam Valley, NY 10579-3200 | 2006-06-17 |
| 1760032122 | Michelle Renee Gordon | Licensed Practical Nurse | 1199 Vernon Odom Blvd, Akron, OH 44307-1048 | 2019-09-18 |
| 1184108235 | Michelle Diane Gordon | Social Worker | 80 Everett Ave, Chelsea, MA 02150-2339 | 2018-09-24 |
| 1275997413 | Michelle Gordon | Specialist | 673 Columbia Tpke, East Greenbush, NY 12061-2130 | 2016-04-13 |
| 1437404787 | Michelle Gordon | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-23 |
| 1447523972 | Michelle Gordon | Social Worker | 80 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2012-02-14 |
| 1245551522 | Michelle D Gordon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2010-06-21 |
| Street Address |
12040 NE 128TH ST MS #105 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1528674389 | Hannah Rose Narag Galvan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-17 |
| 1942816970 | Julia Anne Baura Suico | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-16 |
| 1275147688 | Diana Dubinsky | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-02 |
| 1619599040 | Ana-irina Bologan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-05-07 |
| 1467080499 | Suzanne Marie Campiche | Social Worker | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-27 |
| 1528694106 | Jordan Daryoush Kamal | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-16 |
| 1689224727 | Patricia Duenas Morgan | Nurse Practitioner | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2019-09-19 |
| 1700351533 | Katherine Claire Newman | Pharmacist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2018-10-08 |
| 1104337682 | Kristin Bainbridge | Speech-Language Pathologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1922406867 | Lois Jean Weaver | Internal Medicine | 11411 - 111th Pl Ne, Kirkland, WA 98033-4543 | 2014-12-09 |
| 1699195651 | Xiaobing Wang | Internal Medicine | 12333 Ne 130th Ln Ste 310, Kirkland, WA 98034-7467 | 2014-04-17 |
| 1144653916 | Alexandra Rich | Internal Medicine | 12040 128th St, Ms-50, Kirkland, WA 98034-3013 | 2013-08-15 |
| 1407295256 | Lane Benes | Internal Medicine | 12333 Ne 130th Ln, Ste 320, Kirkland, WA 98034 | 2013-06-14 |
| 1821431461 | Sonia Kaur Hans | Internal Medicine | 12333 Ne 130th Ln, #400, Kirkland, WA 98034 | 2013-04-13 |
| 1326277203 | Christine Meyers | Internal Medicine | 12040 Ne 128th St # Ms -10, Kirkland, WA 98034-3013 | 2009-07-13 |
| 1891954780 | Lucy Doyle | Internal Medicine | 12040 Ne 128th St # Ms -105, Kirkland, WA 98034-3013 | 2008-06-05 |
| 1902095128 | Anslem O Opitoke | Internal Medicine | 1521 Ne 128th St Ste 100, Kirkland, WA 98101 | 2007-10-24 |
| 1275690463 | Sana Isa Pratt Md Pllc | Internal Medicine | 10413 Ne 37th Cir Bldg 3, Suite B, Kirkland, WA 98033-7924 | 2007-01-03 |
| Find all providers in KIRKLAND | ||||
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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.