KEVIN B GORDON (NPI# 1649787367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649787367 |
| Entity Type | Individual |
| Full Name | KEVIN B GORDON |
| Credential | ATC |
| Practice Address |
3618 Madaca Ln Tampa FL 33618-2057 |
| Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
| Practice Telephone | 8139789700 |
| Mailing Telephone | 8139789700 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL2164 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776479 | Kevin Bruce Gordon | Pharmacist | 1816 Sydenham Trail, Virginia Beach, VA 23464-8917 | 2019-08-21 |
| 1902277528 | Kevin Gordon | Registered Nurse | 9500 Euclid Ave., Cleveland, OH 44106 | 2015-10-08 |
| 1053723643 | Kevin Gordon | Contractor | 12222 E 30th St, Tulsa, OK 74129-8423 | 2014-05-29 |
| 1174815625 | Kevin C Gordon | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2011-05-03 |
| 1811082431 | Kevin Gordon | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-10-03 |
| 1740383736 | Kevin Gordon | Specialist | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2006-09-06 |
| 1437151370 | Kevin J Gordon | Internal Medicine | 1610 W University Blvd, Durant, OK 74701-3045 | 2005-08-11 |
| 1871597666 | Kevin R Gordon | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-09 |
| Street Address |
3618 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873405 | David A Reina | Chiropractor | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2005-07-07 |
| 1508294778 | Brett Mielnick | Physical Therapy Assistant | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2013-10-24 |
| 1598980054 | Stephanie Irene Labutis | Physical Therapist | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2007-04-17 |
| 1710031653 | Musculoskeletal Institute Chartered | Prosthetic/Orthotic Supplier | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1053929240 | Aldenceise Smith | Specialist/Technologist | 3320 W Napoleon Ave, Tampa, FL 33611-5407 | 2020-07-14 |
| 1245854173 | Merlande Felizor | Specialist/Technologist | 9320 Crescent Loop Cir Apt 310, Tampa, FL 33619-7651 | 2020-06-06 |
| 1003435603 | Jose Guzman-ramos | Specialist/Technologist | 3602 Data Dr Apt 101, Tampa, FL 33613-2792 | 2020-04-13 |
| 1437778255 | Ai Ai La | Specialist/Technologist | 6406 W Paris St, Tampa, FL 33634-5009 | 2020-04-12 |
| 1760016489 | Francis L Johnson IIi | Specialist/Technologist | 7201 Sheldon Rd, Tampa, FL 33615-2328 | 2020-03-03 |
| 1295369916 | Skylar Jo Stevens | Specialist/Technologist | 5000 S Himes Ave Apt 312, Tampa, FL 33611-3675 | 2020-03-03 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1902449234 | Kendra Richardson | Specialist/Technologist | 4541 S Dale Mabry Hwy Ste 200, Tampa, FL 33611-1407 | 2019-10-18 |
| Find all providers in TAMPA | ||||
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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.