DR. STEVEN WITTENBERG GORDON (NPI# 1740381052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740381052 |
Entity Type | Individual |
Full Name | DR. STEVEN WITTENBERG GORDON |
Credential | MD |
Practice Address |
12312 Russell St Ste 101 Overland Park KS 66209-2531 |
Practice Telephone | 9137875805 |
Practice Fax Number | 9137308370 |
Mailing Telephone | 9137875805 |
Mailing Fax Number | 9137308370 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2012-05-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 2007001370 | MO | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 32351 | KS | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427527837 | Steven Keith Gordon | Pharmacist | 3010 Us Highway 80 Ste B, Bloomingdale, GA 31302-4557 | 2018-11-14 |
1083106033 | Steven Gordon | Counselor | 207 Prospect Park West, Suite #1, Brooklyn, NY 11215 | 2018-06-05 |
1235450586 | Steven Lars Gordon | Surgery | 17183 I 45 S Ste 390, Shenandoah, TX 77385-3313 | 2010-06-21 |
1255469300 | Steven Emmett Gordon | Dentist | 4020 Elnora Dr, Macon, GA 31210 | 2007-03-01 |
1922159920 | Steven Gordon | Optometrist | 51 Katonah Ave, Katonah, NY 10536-2103 | 2007-01-16 |
1932287398 | Steven Gordon | Physical Therapist | 143 Raymond Rd Unit 8, Coppola Physical Therapy and Fitness Gym, Candia, NH 03034-2133 | 2006-11-02 |
1104907575 | Steven Paul Gordon | Optometrist | 26300 Cedar Rd Ste 2005, Beachwood, OH 44122 | 2006-10-18 |
1013925783 | Steven Mark Gordon | Nurse Practitioner | 10015 Old Columbia Rd, Suite B-215, Columbia, MD 21046-1703 | 2006-08-04 |
1225045511 | Steven Gordon | Social Worker | 66 Harned Rd, Ste 4, Commack, NY 11725-3527 | 2006-08-01 |
1326017302 | Steven Adam Gordon | Podiatrist | 8577 Sudley Rd Ste A, Manassas, VA 20110-3860 | 2006-03-14 |
Street Address |
12312 RUSSELL ST STE 101 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66209-2531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
Find all providers in zip 66209 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
1831623131 | Katherine Rose Mcdaniel | Family Medicine | 7381 W 133rd St Ste 100, Overland Park, KS 66213-4770 | 2017-04-13 |
1346627049 | Caroline Lucille Martin | Family Medicine | 11725 W 112th St # 101, Overland Park, KS 66210-2761 | 2015-05-01 |
1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
1508278367 | Elizabeth Brett Daily | Family Medicine | 4401 W 109th St Ste 200, Overland Park, KS 66211-1303 | 2014-05-28 |
1831538941 | Steven M. Wien | Family Medicine | 9314 W 82nd St, Overland Park, KS 66204-3218 | 2013-06-21 |
1043552474 | Alan Mark Oliver | Family Medicine | 13849 Hadley St, Overland Park, KS 66223-1320 | 2013-03-24 |
1225384001 | Lloyd Bernard Bledsoe | Family Medicine | 10150 Antioch Rd, Overland Park, KS 66212-4285 | 2012-07-30 |
1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66209 |
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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.