DR. WILLIAM EDWARD GORDON (NPI# 1588728182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588728182 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EDWARD GORDON |
| Credential | MD |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828854193 |
| Practice Fax Number | 6828854956 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M5192 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 185355804 | 05 | |
| TX | CSHCN | 185355805 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326482704 | William F Gordon | Physical Therapist | 70 Main St Ste 201, North Andover, MA 01845-2427 | 2013-04-29 |
| 1194033118 | William Patrick Gordon | Obstetrics & Gynecology | 1106 Burr Ridge Club Drive, Burr Ridge, IL 60527-5214 | 2010-09-24 |
| 1699003376 | William Frederick Gordon | Psychologist | 1211 Puerta Del Sol, San Clemente, CA 92673 | 2009-11-18 |
| 1376784363 | William Michael Gordon | Counselor | 301 The City Dr S # 2090, Orange, CA 92868-3205 | 2009-03-20 |
| 1801912654 | William H Gordon | Dentist | 1904 Front St, Suite 530, Durham, NC 27705-2583 | 2007-03-22 |
| 1992733125 | William Gordon | Pharmacist | 6849 Arlington Dr, West Bloomfield, MI 48322-2720 | 2006-06-28 |
| 1730152182 | William Michael Gordon | Dentist | 840 Tiogue Ave, Coventry, RI 02816 | 2006-02-08 |
| 1528050069 | William David Gordon | Optometrist | 3000 Forsythe Ave, Monroe, LA 71201-3012 | 2005-08-19 |
| 1093278491 | William Gordon | Pharmacist | 4500 Weitzel St, Timnath, CO 80547-4416 | 2019-04-11 |
| 1790211746 | William Gordon | Registered Nurse | 750 N Estrella Pkwy Ste 40, Goodyear, AZ 85338-9279 | 2017-05-11 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033477419 | Kyle Anthony Brown | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2012-04-24 |
| 1639311616 | Mary Kathryn Ramsey | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2009-04-06 |
| 1669529541 | Ryan R Meyer | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-01-04 |
| 1427111988 | Raymond Nkwantabisa | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-18 |
| 1275626368 | James D Marshall | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-10-02 |
| 1306942487 | Jose L Olarte-motta | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-09-15 |
| 1750486304 | William B Nelson | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-09-14 |
| 1225140270 | Javier Gelvez | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-31 |
| 1366552218 | Larry E Easterling | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-30 |
| 1699883108 | Susan L Davis | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.