CHRISTOPHER R. GORDON


Address: 1157 N 300 W, Provo, UT 84604-6124
Phone: 8013571200

CHRISTOPHER R. GORDON (NPI# 1922232867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922232867
Entity Type Individual
Full Name CHRISTOPHER R. GORDON
Credential M.D.
Practice Address 1157 N 300 W
Provo
UT 84604-6124
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013571200
Mailing Telephone 8013571200
Enumeration Date 2009-05-06
Last Update Date 2013-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
8233708-1205 UT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers CHRISTOPHER GORDON

NPI Name Taxonomy Address Enumeration
1003234873 Christopher Gordon Internal Medicine 745 N 500 W Ste 200, Provo, UT 84601-1472 2014-03-31
1356539449 Christopher Aaron Gordon Dentist 450 New Market Blvd Ste 4, Boone, NC 28607-5501 2007-10-15
1982639043 Christopher David Gordon Psychiatry & Neurology 1881 Worcester Road, Framingham, MA 01701 2006-07-11
1497383319 Christopher Michael Gordon Student in an Organized Health Care Education/Training Program 2475 Broadway Bluffs Dr Ste 200, Columbia, MO 65201-8147 2020-03-27
1750942173 Christopher Ryan Gordon Case Manager/Care Coordinator 6140 S Broadway, Lorain, OH 44053-3891 2019-06-26
1194240481 Christopher L Gordon Dentist 1569 Fall River Dr Ste 193, Loveland, CO 80538-9059 2017-08-07
1013463546 Christopher Gordon Behavioral Analyst 2020 Pinto Ln, Las Vegas, NV 89106-4019 2016-08-25
1114472966 Christopher David Gordon Student in an Organized Health Care Education/Training Program 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 2016-08-22
1629455969 Christopher Gordon Anesthesiology 8201 W Broward Blvd, Plantation, FL 33324-2701 2015-05-06
1639579188 Christopher Andrew Gordon Counselor 1790 W 11th Ave Ste A, Eugene, OR 97402-3780 2014-09-02

Office Location

Street Address 1157 N 300 W
City PROVO
State UT
Zip Code 84604-6124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093710188 Stephen Peters Psychiatry & Neurology 1157 N 300 W, Provo, UT 84604-6124 2005-06-16
1699315572 Tyler Bills Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2020-01-08
1558917906 Shaylene Dye Specialist/Technologist 1157 N 300 W, Provo, UT 84604-6124 2019-08-12
1053801308 Monica Maria Alvarez Hinckley Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2018-05-12
1821592890 Clinton Sherrill Anderson Orthopaedic Surgery 1157 N 300 W, Provo, UT 84604-6124 2018-03-22
1487165932 Jesse Wren Ellis Social Worker 1157 N 300 W, Provo, UT 84604-6124 2017-10-23
1376066779 Lindsey Kyle Jones Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2017-07-18
1922528314 Julie Elizabeth Vancour Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2017-06-26
1467992560 Dane Smith Specialist/Technologist 1157 N 300 W, #201, Provo, UT 84604-6124 2017-03-08
1972986057 Steven Faux Nurse Practitioner 1157 N 300 W, Suite 303, Provo, UT 84604-6124 2015-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043486384 Matthew Craig Evans Family Medicine 1157 N 300 W, #201, Provo, UT 84604-6124 2008-05-06
1740242973 Karl N Weenig Family Medicine 1055 N 500 W, Suite 121, Provo, UT 84604-3305 2006-04-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053702431 Weber State University Family Medicine 1001 University Cir, Ogden, UT 84408-5525 2015-02-06
1720169915 Stuart Eliot Willick Family Medicine 1493 Lowell Ave, Park City, UT 84060 2006-10-17
1043210248 Trek Lyons Family Medicine 1300 N 500 E, Suite 130, Logan, UT 84341-2408 2005-07-28
1316323165 Dixie State University Family Medicine 225 S 700 E, St George, UT 84770-3875 2015-08-04
1285013987 Sportsmed Associates LLC Family Medicine 3401 N Center St, Ste 100, Lehi, UT 84043-7497 2015-05-27
1164826665 University of Utah Adult Services Family Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2014-10-14
1164860573 Brett Wayne Martindale Family Medicine 4700 Harrison Blvd, Ogden, UT 84403-4303 2013-06-07
1053631069 Tye Harrison Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2010-06-02
1720303837 Nicholas E Monson Family Medicine 2132 N 1700 W, 230, Layton, UT 84041-7057 2010-03-31
1346478476 Ryan Albert Slater Family Medicine 1184 E 80 N, American Fork, UT 84003-2906 2009-06-26
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Competitor

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City PROVO
Zip Code 84604

Improve Information

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Dataset Information

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.

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