JONATHAN K GORDON (NPI# 1568460483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568460483 |
| Entity Type | Individual |
| Full Name | JONATHAN K GORDON |
| Credential | MD |
| Practice Address |
100 Amesbury St Suite 113 Lawrence MA 01840-1321 |
| Practice Telephone | 9786855474 |
| Practice Fax Number | 9786890493 |
| Mailing Telephone | 9786855474 |
| Mailing Fax Number | 9786890493 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 79322 | MA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
79322 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3188396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538647698 | Jonathan Gordon | Registered Nurse | 1419 Grande Mesa Dr, Georgetown, TX 78626-7079 | 2018-08-01 |
| 1790299501 | Jonathan D Gordon | Psychologist | 310 Cedar Ln Fl 2, Teaneck, NJ 07666-3441 | 2017-12-01 |
| 1720322852 | Jonathan Gordon | Dentist | 1250 Garth Rd, Baytown, TX 77520-2423 | 2012-11-15 |
| 1255669727 | Jonathan Dales Gordon | Dentist | 5425 Verna Blvd, Jacksonville, FL 32205-4762 | 2009-11-21 |
| 1235766940 | Jonathan Gordon | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-24 |
| 1104004886 | Jonathan Gordon | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-02-05 |
| 1932236528 | Jonathan L Gordon | Family Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-28 |
| 1255448767 | Jonathan Melvin Gordon | Dentist | 414 N Camden Dr, Suite 1260, Beverly Hills, CA 90210-4532 | 2006-08-23 |
| 1043232879 | Jonathan P. Gordon | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2006-07-24 |
| 1336173418 | Jonathan E Gordon | Optometrist | 4320 W Broward Blvd, Suite 2, Plantation, FL 33317-3756 | 2006-07-11 |
| Street Address |
100 AMESBURY ST SUITE 113 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01840-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184075038 | Merrimack Valley Orthodontics LLC | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2016-06-22 |
| 1538534953 | James F. Drew Dmd PC | Preferred Provider Organization | 100 Amesbury St, Lawrence, MA 01840-1321 | 2015-12-10 |
| 1619347747 | Federico Jose Perez | Dentist | 100 Amesbury St, #203, Lawrence, MA 01840-1321 | 2015-10-01 |
| 1588032395 | Xingxue Hu | Dentist | 100 Amesbury St, St #203, Lawrence, MA 01840-1321 | 2015-09-10 |
| 1235542903 | Audra Buckley Reynoso | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2014-06-10 |
| 1689950420 | Ingrid Pena De Carreno | Dentist | 100 Amesbury St, Lawrence, MA 01840-1321 | 2011-10-25 |
| 1366757064 | Cathleen E. Wallent, Dmd, PC | Dentist | 100 Amesbury St, Suite 202, Lawrence, MA 01840-1321 | 2010-08-18 |
| 1255663043 | Sandra Ameri | Dentist | 100 Amesbury St, Suite 203, Lawrence, MA 01840-1321 | 2010-02-04 |
| 1922265339 | Maritza Morell Dmd PC | Dentist | 100 Amesbury St, Suite 111, Lawrence, MA 01840-1321 | 2008-05-22 |
| 1063600120 | Nguyet M Tau | Dentist | 100 Amesbury St, Suite 203, Lawrence, MA 01840-1321 | 2007-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1720598626 | Natalie Perez | Counselor | 15 South Union St, 200, Lawrence, MA 01840 | 2017-10-05 |
| 1932636271 | Iluminada De La Cruz | Counselor | 2 Museum Square Apt 412, Lawrence, MA 01840 | 2017-05-17 |
| 1831642867 | Karina Tremiti | Counselor | 599 Canal St, 5th Fl, Lawrence, MA 01840 | 2016-07-26 |
| 1467733717 | Suzanne Beth Macphail | Counselor | 11 Union Street, Lawrence, MA 01840 | 2011-08-31 |
| 1831416767 | Db Practice Management, Inc | Dentist | 488 Essex St, Lawrence, MA 01840 | 2010-05-03 |
| 1033341169 | Michele Davis | Counselor | 15 Union Street, Second Floor, Lawrence, MA 01840 | 2009-08-24 |
| 1447401856 | Erin Grace Mooney | Social Worker | 439 South Union Street, Suite 207a, Lawrence, MA 01840 | 2008-10-03 |
| 1215127840 | Marcia Elaine Nelson-vancini | Nurse Practitioner | Lahey Health Behavioral Services, Inc., 12 Methuen Street, Lawrence, MA 01840 | 2007-07-30 |
| Find all providers in zip 01840 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275795312 | Noel H. Kleppel | Surgery | 85 Merrall Dr, Lawrence, NY 11559-1518 | 2008-06-30 |
| 1962526764 | Muto Thoracic Clinic Incorporated | Surgery | 100 Amesbury Street, Suite 113, Lawrence, MA 01840 | 2007-03-19 |
| 1336245604 | Moo Young Jun | Surgery | 135 Rockaway Turnpike, Lawrence, NY 11559 | 2006-09-15 |
| 1871540195 | Ralph Han Park | Surgery | 330 Arkansas St Ste 202, Lawrence, KS 66044-1394 | 2006-05-30 |
| 1861499287 | Stephen W Myrick | Surgery | 1112 W 6th St Ste 109, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1477550804 | Dale Patrick Denning | Surgery | 1112 W 6th St Ste 210, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1790781375 | Neysa I Valentin-capeles | Surgery | 275 Rockaway Tpke, Lawrence, NY 11559 | 2005-06-28 |
| 1528603719 | Lawrence Physicians LLC | Surgery | 6265 Rock Chalk Dr, Suite 2400, Lawrence, KS 66049 | 2019-11-12 |
| 1356758502 | Lawrence Physicians LLC | Surgery | 330 Arkansas St, Suite 202, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1407263627 | Lawrence Physicians LLC | Surgery | 1112 W 6th St Ste 210, Lawrence, KS 66044-2249 | 2014-07-21 |
| Find all providers in LAWRENCE | ||||
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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.