ROBERT T GORDON (NPI# 1588604581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588604581 |
| Entity Type | Individual |
| Full Name | ROBERT T GORDON |
| Credential | MD |
| Practice Address |
4150 5th St Rapid City SD 57701-6022 |
| Practice Telephone | 6053994300 |
| Practice Fax Number | 6053994352 |
| Mailing Telephone | 6053994300 |
| Mailing Fax Number | 6053994352 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5310 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BLUE CROSS OF SD | 4995658 | 01 |
| SD | 7301930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105429 | Robert Henry Gordon Sr. | Homemaker | 1119 Sand Creek Loop, Ocoee, FL 34761-1434 | 2020-08-17 |
| 1952643652 | Robert B Gordon | Durable Medical Equipment & Medical Supplies | 4552 Mcknight Rd, Pittsburgh, PA 15237 | 2013-03-20 |
| 1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
| 1083939391 | Robert Dana Gordon | Transplant Surgery | 520 Cameron Manor Way Nw, Atlanta, GA 30328-6202 | 2010-03-30 |
| 1144452798 | Robert K Gordon | Family Medicine | 400 W Camelback Rd, Suite 209, Phoenix, AZ 85013-2330 | 2009-08-17 |
| 1811147028 | Robert Sproat Gordon | Family Medicine | 13 Coronad Circle, Angel Fire, NM 87710 | 2008-09-24 |
| 1487815072 | Robert Gordon | Psychologist | 13355 Noel Road, Suite 1910, Dallas, TX 75240 | 2008-06-17 |
| 1760652531 | Robert Seth Gordon | Psychiatry & Neurology | 611 S Kansas Ave Ste 101, Topeka, KS 66603 | 2008-03-07 |
| 1891972675 | Robert James Gordon | Marriage & Family Therapist | 1023 Executive Parkway Dr Ste 10, Creve Coeur, MO 63141-6323 | 2008-01-23 |
| 1649470394 | Robert Morris Gordon | Psychiatry & Neurology | 651 Bering Dr, #1801, Houston, TX 77057-2133 | 2007-07-20 |
| Street Address |
4150 5TH ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013963149 | Jorge E Sanmartin | Internal Medicine | 4150 5th St, Rapid City, SD 57701-6022 | 2006-05-26 |
| 1245874502 | Samantha Speed | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2019-10-30 |
| 1639710106 | Kelly Savannah Strong | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2019-10-04 |
| 1144880535 | Morgan Elizabeth Kleinsasser | Physician Assistant | 4150 5th St, Rapid City, SD 57701-6022 | 2019-06-18 |
| 1154981694 | Nicholas Hollenbeck | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2019-06-17 |
| 1316422991 | Tamber Kristina White | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2018-09-28 |
| 1003393570 | Maria Lee | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2018-07-26 |
| 1154847481 | Matthew Gross | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2017-08-17 |
| 1114449139 | Kendra Leigh Ahrens Joswiak | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701-6022 | 2017-07-11 |
| 1568912996 | Becky L Sharp | Nurse Practitioner | 4150 5th St, Rapid City, SD 57701 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649423872 | Charan Mungara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 353 Fairmont Blvd, Monument Health Rapid City Hospital, Rapid City, SD 57701-7375 | 2008-10-31 |
| 1902883747 | James Patrick Takara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4150 Fifth Street, Rapid City, SD 57701 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932615747 | Luyando Kalembo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4709 S Oxbow Ave, 120, Sioux Falls, SD 57106-5710 | 2017-12-18 |
| 1285974592 | Leycester Nmn Owens Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 E Ridge Rd, Sioux Falls, SD 57105-5043 | 2013-02-22 |
| 1609808906 | Sanford Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1301 W. 18th Street, Sioux Falls, SD 57105-0401 | 2006-07-07 |
| 1659358182 | Mark J Schechter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 E 10th St, #400, Sioux Falls, SD 57104-6361 | 2005-12-27 |
| 1972640498 | Keung Ung | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1301 W 18th St, Sioux Falls, SD 57105 | 2007-01-31 |
| 1346289618 | Tommy R Reynolds | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-06-05 |
| 1134174865 | Paul E Meyer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-23 |
| 1184678211 | James R Reynolds | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-22 |
| 1447203047 | Lewis C Ofstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-05-18 |
| 1811985211 | Peter A Andreone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4520 W 69th St, Sioux Falls, SD 57108 | 2005-10-10 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.