KEVIN GORDON (NPI# 1811082431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811082431 |
| Entity Type | Individual |
| Full Name | KEVIN GORDON |
| Credential | D.O. |
| Practice Address |
152 W Lincoln Hwy Chicago Heights IL 60411-2619 |
| Practice Telephone | 7087557359 |
| Practice Fax Number | 7087543071 |
| Mailing Telephone | 7087557359 |
| Mailing Fax Number | 7087543071 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-091394 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036-091394 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776479 | Kevin Bruce Gordon | Pharmacist | 1816 Sydenham Trail, Virginia Beach, VA 23464-8917 | 2019-08-21 |
| 1649787367 | Kevin B Gordon | Specialist/Technologist | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2018-01-03 |
| 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 |
| 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 |
152 W LINCOLN HWY |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076781 | Luis E Ugarte | Obstetrics & Gynecology | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2005-07-12 |
| 1992352595 | Melina Salgado | Physician Assistant | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2019-08-20 |
| 1548649726 | Eneniziaogochukwu Okocha | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2015-05-21 |
| 1922234921 | Nydia Carmel Beard | Nurse Practitioner | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2009-06-03 |
| 1366514887 | Access Community Health Network | Clinic/Center | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-11-14 |
| 1275580565 | Arlette F. Brown | Obstetrics & Gynecology | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| 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 |
|---|---|---|---|---|
| 1063513026 | Linda Williams | Family Medicine | 30 E 15th St Ste 207, Chicago Heights, IL 60411-3476 | 2006-09-25 |
| 1679684716 | Eastside Healthcare of Chicago Heights Foundation | Family Medicine | 1250 Portland Ave, Chicago Heights, IL 60411-2800 | 2006-08-31 |
| 1700898954 | Charm Development | Family Medicine | 403 W Lincoln Hwy, Suite 25, Chicago Heights, IL 60411-2479 | 2006-08-13 |
| 1386616399 | Ather Ashfaque Malik | Family Medicine | 30 E 15th St Ste 202, Chicago Heights, IL 60411-3476 | 2006-02-03 |
| 1497370092 | Elite Treatment Center, Inc. | Family Medicine | 395 W Lincoln Hwy, Chicago Heights, IL 60411-2442 | 2020-06-10 |
| 1629550892 | Grand Prairie Services | Family Medicine | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2018-09-04 |
| 1548649726 | Eneniziaogochukwu Okocha | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2015-05-21 |
| 1164819215 | Brittani James | Family Medicine | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2015-04-15 |
| 1942541149 | Jenna M Cella | Family Medicine | 30 E 15th St Ste 202, Chicago Heights, IL 60411-3476 | 2013-03-13 |
| 1033353792 | Ted George Ody Achufusi | Family Medicine | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2009-04-26 |
| Find all providers in CHICAGO HEIGHTS | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
Please comment or provide details below to improve the information on KEVIN GORDON.
| 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.