DR. BENJAMIN DICHTER GORDON (NPI# 1679625420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679625420 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DICHTER GORDON |
| Credential | M.D. |
| Practice Address |
275 Sandwich St Plymouth MA 02360-2183 |
| Mailing Address |
14 Hillsea Rd Yarmouth Port MA 02675-1111 |
| Practice Telephone | 5088302388 |
| Practice Fax Number | 5088302389 |
| Mailing Telephone | 5083750541 |
| Mailing Fax Number | 5083750559 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
151114 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740778836 | Benjamin Gordon | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2018-04-25 |
| 1790283950 | Benjamin Gordon | Behavioral Analyst | 7976 Dairy Ln, Athens, OH 45701-9391 | 2018-01-23 |
| 1689860850 | Benjamin Hollis James Gordon | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2007-09-20 |
| 1821184078 | Benjamin Stuart Gordon | Physician Assistant | 950 N State St, Bldg B, Suite D & E, Hemet, CA 92543-1485 | 2006-10-05 |
| Street Address |
275 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| 1043879273 | Sarah Blais | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-06-11 |
| 1023572021 | Jessica M Olson | Advanced Practice Midwife | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-01-24 |
| 1275005134 | Victoria Turaman | Registered Nurse | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-12-17 |
| 1164907564 | Bethany Ison | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-10-02 |
| 1205319837 | Laurie Gilburne | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-10 |
| 1386126589 | Pamela Wood | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-04 |
| 1255819744 | Amy Jorud | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-08-06 |
| 1528544772 | Michaela Jean Butler | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-07-11 |
| 1407354087 | Shelby Lynne Sullivan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437183811 | Steven Isaac Lewallen | Preventive Medicine | 46212 Barrington Rd, Plymouth, MI 48170-3503 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
| 1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
| 1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
| 1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
| 1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
| 1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
| 1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
| 1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
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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.