SAMANTHA CLAIRE GORDON (NPI# 1871942177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871942177 |
| Entity Type | Individual |
| Full Name | SAMANTHA CLAIRE GORDON |
| Credential | MD |
| Practice Address |
800 Washington St Boston MA 02111-1552 |
| Practice Telephone | (617) 636-5000 |
| Mailing Telephone | 6176365000 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 268035 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 268035 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 6177262687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1639435365 | Samantha Gordon | Occupational Therapist | 132-15 218th St, Springfield Gardens, NY 11413 | 2012-04-06 |
| 1568982585 | Samantha Gordon | Behavior Technician | 201 International Cir, Hunt Valley, MD 21030-1304 | 2017-06-21 |
| 1750608030 | Samantha Gordon | Radiology | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2010-04-27 |
| Street Address |
800 WASHINGTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848643 | Christopher B. Geary | Orthopaedic Surgery | 800 Washington St, Box 306, Boston, MA 02111-1552 | 2005-06-01 |
| 1720687767 | Johnson Ching | Pharmacist | 800 Washington St, Boston, MA 02111-1552 | 2020-10-21 |
| 1174120075 | Sarah Woodruff | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-10-04 |
| 1255946448 | Tufts Medical Center | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-14 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1053926907 | Arlind Decka | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-08 |
| 1518571124 | Abdulrahman Mohammad Alshiban | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2020-09-01 |
| 1922610229 | Taylor Elizabeth Maffett | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-18 |
| 1467063685 | Heather April Mills Tong | Physical Therapist | 800 Washington St, Boston, MA 02111-1552 | 2020-08-11 |
| 1245840032 | Lindsey Holland | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
| 1811343361 | Neera Nathan | Dermatology | 50 Staniford St Fl 2, Boston, MA 02114-2517 | 2016-05-13 |
| 1619359320 | Freya Meyer | Dermatology | 441 Stuart St Fl 4, Boston, MA 02116-5027 | 2015-06-18 |
| 1952716177 | Anna Kurayev | Dermatology | 260 Tremont Street, Biewend Bld., 14th Floor, Dermatology Department, Boston, MA 02116 | 2014-06-26 |
| 1245640705 | Chao Hui Yang | Dermatology | 221 Longwood Ave Dept Of, Boston, MA 02115-5817 | 2014-05-05 |
| 1508208505 | Yevgeniy Romanovich Semenov | Dermatology | Massachusetts General Hospital - Dept of Dermatology, 55 Fruit Street, Boston, MA 02114 | 2013-07-19 |
| 1821354648 | Tarannum Jaleel | Dermatology | 72 East Concord Street, Evans Suite 124, Boston, MA 02118-2307 | 2012-04-05 |
| 1881915148 | Lisa Yao Shen | Dermatology | 725 Albany St # 8b, Boston, MA 02118-2526 | 2010-06-21 |
| 1356662373 | David Michael Miller | Dermatology | 50 Staniford St Ste 200, Boston, MA 02114-2543 | 2010-06-14 |
| 1376779819 | Yakir Levin | Dermatology | 50 Staniford St Ste 250, Boston, MA 02114-2517 | 2009-06-10 |
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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.