STEVEN M GORDON LLC (NPI# 1699254292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699254292 |
| Entity Type | Organization |
| Organization Name | STEVEN M GORDON LLC |
| Other Organization Name | PSYCHIATRIC PRACTICE OF STEVEN M GORDON AND ASSOCIATES |
| Practice Address |
5850 Waterloo Rd Ste 140 Columbia MD 21045 |
| Mailing Address |
5850 Waterloo Rd Ste 140 Columbia MD 21045-1944 |
| Practice Telephone | 4109882503 |
| Practice Fax Number | 4103437899 |
| Mailing Telephone | 4109882503 |
| Mailing Fax Number | 4103437899 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | STEVEN MARK GORDON (OWNER) |
| Authorized Official Telephone | 4109882503 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R144658 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Psychiatric Practice of Steven M Gordon and Associates | Doing Business As Name - Organization |
| Street Address |
5850 WATERLOO RD STE 140 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922443324 | Cohen Dermatopathology, PC | Dermatology | 5850 Waterloo Rd Ste 140, Columbia, MD 21045 | 2013-04-30 |
| 1285286831 | Derek N Walcker | Nurse Practitioner | 5850 Waterloo Rd Ste 140, Columbia, MD 21045-1944 | 2019-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906879 | Claudine Njob | Nurse Practitioner | 5500 Knoll North Dr Ste 220, Columbia, MD 21045-2362 | 2020-09-15 |
| 1366081887 | Mavis Kisseadoo | Nurse Practitioner | 10208 Hickory Ridge Rd Apt 302, Columbia, MD 21044-4688 | 2020-01-01 |
| 1942768528 | American Psychiatric Care LLC | Nurse Practitioner | 8895 Centre Park Dr Ste E2, Columbia, MD 21045-1966 | 2019-03-04 |
| 1700341948 | Anu John | Nurse Practitioner | G. Werber Bryan Psychiatric Hospital, 220 Faison Drive, Columbia, SC 29203 | 2019-02-01 |
| 1457838633 | Lisa Eunjoo Sohn | Nurse Practitioner | 6310 Stevens Forest Rd Ste 100, Columbia, MD 21046-3208 | 2018-07-20 |
| 1558864157 | Yetunde Olaleye | Nurse Practitioner | 7067 Columbia Gateway Dr Ste 108, Columbia, MD 21046-3407 | 2018-03-10 |
| 1538667431 | Truhope.3 LLC | Nurse Practitioner | 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044-3648 | 2018-01-25 |
| 1174038590 | Elizabeth Jane Eggebrecht | Nurse Practitioner | 2715 Colonial Dr Ste 100, Columbia, SC 29203-6818 | 2017-12-07 |
| 1639540420 | Stacy S Mallare | Nurse Practitioner | 10954 Hilltop Ln, Columbia, MD 21044-3780 | 2015-10-19 |
| 1790097913 | Ana C Duarte | Nurse Practitioner | 10632 Little Patuxent Pkwy Ste 410, Columbia, MD 21044-3252 | 2010-07-02 |
| Find all providers in COLUMBIA | ||||
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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.