MS. KONWRE GORDON (NPI# 1871048470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871048470 |
| Entity Type | Individual |
| Full Name | MS. KONWRE GORDON |
| Credential | FNP-BC |
| Practice Address |
21040 Greenfield Rd Oak Park MI 48237-3025 |
| Practice Telephone | 2489676500 |
| Practice Fax Number | 2489676528 |
| Mailing Telephone | 2489676500 |
| Mailing Fax Number | 3138755617 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704257255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21040 GREENFIELD RD |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1457851511 | Cheryl Lynn Sanders | Pharmacist | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2018-02-15 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1083908081 | Betts Medical Group LLC | Internal Medicine | 21040 Greenfield Rd, Ste 200, Oak Park, MI 48237-3025 | 2011-06-07 |
| 1457511040 | Jenny Phu Shih | Family Medicine | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-17 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1023108792 | Patricia Abinoja | Pediatrics | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355838 | Esmeralda Zamora | Nurse Practitioner | 1010 Lake St Ste 100, Oak Park, IL 60301-1106 | 2020-10-26 |
| 1528689080 | Connor Shaw | Nurse Practitioner | 610 S Maple Ave Ste 5700, Oak Park, IL 60304-2808 | 2020-05-06 |
| 1033616859 | Lauren Marion | Nurse Practitioner | 1010 Lake St Ste 619, Oak Park, IL 60301-1136 | 2018-04-09 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1952828584 | Meghan Crismon Bezaire | Nurse Practitioner | 520 S Maple Ave Fl Ground, Oak Park, IL 60304-1022 | 2017-08-24 |
| 1376087114 | Lori Beth Friedman | Nurse Practitioner | 6017 Alexandra Ct, Oak Park, CA 91377-5833 | 2016-12-13 |
| 1104286392 | Selena Chantae Kirkwood | Nurse Practitioner | 3 Erie Ct., West Suburban Medical Center, Oak Park, IL 60302 | 2016-03-01 |
| 1831556703 | Patience Alilionwu | Nurse Practitioner | 1231 Edmer Ave, Oak Park, IL 60302-1133 | 2016-01-24 |
| 1396149449 | Laurie Zack | Nurse Practitioner | 525 S Scoville Ave, Unit 1, Oak Park, IL 60304-1403 | 2014-10-17 |
| 1548671399 | Kina Montgomery | Nurse Practitioner | 138 N Austin Blvd, Apt 3a, Oak Park, IL 60302-3338 | 2014-05-14 |
| Find all providers in OAK PARK | ||||
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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.