SUSAN GORDON (NPI# 1902090806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902090806 |
| Entity Type | Individual |
| Full Name | SUSAN GORDON |
| Credential | PHARM.D. |
| Practice Address |
1481 W 10th St Indianapolis IN 46202-2803 |
| Practice Telephone | 3179882144 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
26021504A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761312 | Susan Lynn Gordon | Counselor | 1525 Martin Luther King Jr Way, Seattle, WA 98122-3129 | 2016-06-17 |
| 1730522913 | Susan M Gordon | Social Worker | 299 Little Bay Rd, Newington, NH 03801-2742 | 2013-04-08 |
| 1093901225 | Susan Leigh Gordon | Physical Therapist | 530 Highland Ave, Feasterville Trevose, PA 19053-6026 | 2007-09-21 |
| 1295952463 | Susan Ellen Gordon | Psychologist | 1 Darnall Hall, Washington, DC 20057-0001 | 2007-04-19 |
| 1447345657 | Susan Merle Gordon | Psychologist | 234 Bryn Mawr Avenue, Suite 202, Bryn Mawr, PA 19010 | 2006-10-04 |
| 1285678359 | Susan Riddle Gordon | Social Worker | 2402 Tift Ave N, Suite 102, Tifton, GA 31794-1883 | 2006-06-16 |
| 1376030122 | Susan Elizabeth Gordon | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-04-17 |
| 1639531726 | Susan Gordon | Social Worker | 2233 Nostrand Ave, 2nd Fl., Brooklyn, NY 11210-3045 | 2016-03-28 |
| 1598199069 | Susan R Gordon | Physical Therapist | 600 N Robbins Rd Ste 101, Boise, ID 83702-4567 | 2013-09-02 |
| 1770804965 | Susan G. Gordon | Social Worker | 3020 Childrens Way # Mc5016, San Diego, CA 92123-4223 | 2010-06-22 |
| Street Address |
1481 W 10TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244258 | Mildred Sue Mcmanus | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2005-06-08 |
| 1174124002 | Syreeta Diane Adams | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-11-06 |
| 1083214126 | Angela Marie Whereatt | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-28 |
| 1679173132 | Jennifer Smith | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-26 |
| 1043817745 | Leah Whitmire | Music Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-06 |
| 1831705730 | Lynnette Rosa Biviano | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-17 |
| 1881208114 | Jessica Lee Fromm | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-03 |
| 1770193104 | Jordan Kirk Trively | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-31 |
| 1942819263 | Vanessa Marie Street | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-23 |
| 1831717248 | Allissa Long | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346466190 | Jennifer Elizabeth Bell | Pharmacist | 9002 N Meridian St Ste 214, Indianapolis, IN 46260-5350 | 2007-04-18 |
| 1639147887 | Patrick Joseph Kiel | Pharmacist | 555 University Blvd, Indianapolis, IN 46202 | 2006-03-12 |
| 1225556210 | Derek James Gyori | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-08-30 |
| 1083145023 | Daniel Kendzierski | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-03-22 |
| 1629439435 | Lauren Burke Levine Ooka | Pharmacist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2016-03-08 |
| 1578803995 | Anne Trueg | Pharmacist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2013-02-21 |
| 1013281187 | Roberta Gay Hernandez | Pharmacist | 8111 S Emerson Ave, Suite 100, Indianapolis, IN 46237-8601 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615036 | Matthew Lovell Boyd | Pharmacist | 11050 Parkview Circle Dr Ste 3b, Fort Wayne, IN 46845-1739 | 2019-08-20 |
| 1366043911 | Chelsea M Gustafson | Pharmacist | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-11-02 |
| 1295355899 | Anna Marie Gibson | Pharmacist | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2020-04-23 |
| 1629624721 | Kelsey Marie Finch | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-14 |
| 1134604697 | Samuel Durham | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-10-01 |
| 1003391814 | Erin Hoag | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-09-27 |
| 1790265353 | Sarah Kuntz | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-08-14 |
| 1861822785 | Elizabeth Anne Koselke | Pharmacist | 2401 W University Ave, Muncie, IN 47303-3428 | 2013-11-13 |
| 1447692777 | Kathy Canup | Pharmacist | 1711 N 6th 1/2 St, Terre Haute, IN 47804-2700 | 2013-07-29 |
| 1881833846 | Keith Margraf | Pharmacist | 200 High Park Ave, Goshen, IN 46526-4810 | 2009-02-16 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on SUSAN 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.