MRS. PATRICIA ANN GORDON (NPI# 1922577758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922577758 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN GORDON |
| Credential | LAC, CAC II |
| Practice Address |
1035 Medical Ridge Rd Clinton SC 29325-4542 |
| Mailing Address |
317 Springlakes Estates Dr Lyman SC 29365-1361 |
| Practice Telephone | 8645472089 |
| Practice Fax Number | 8645472086 |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
559 | SC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 239 Access Rd, Spartanburg, SC 293031682 | 8645030207 | 8645030807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188237 | Patricia Gordon | Case Manager/Care Coordinator | 10 Olde Wagon Rd, Warwick, NY 10990-4224 | 2015-11-10 |
| 1841526860 | Patricia Nolan Gordon | Physical Therapist | 15 Benton Ct, Wilmington, DE 19810-3720 | 2009-10-27 |
| 1184815276 | Patricia Denise Gordon | Dentist | 1400 W Olive Ave Ste 201, Burbank, CA 91506-2416 | 2007-08-05 |
| 1346546199 | Patricia Gordon | Specialist | 9 Mule Rd, E2, Toms River, NJ 08755-5043 | 2011-01-26 |
| 1659516870 | Patricia Odom Gordon | Nurse Practitioner | 5161 Harry Hines Blvd, Dallas, TX 75390-9055 | 2008-12-03 |
| 1124270152 | Patricia M Gordon | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2008-10-22 |
| 1740320811 | Patricia S. Gordon | Radiology | 8900 Wilshire Blvd, Beverly Hills, CA 90211-1958 | 2007-02-07 |
| 1821146333 | Patricia Evette Gordon | Social Worker | 750 Astor Avenue, Bronx, New York, NY 10467 | 2007-01-08 |
| 1972608479 | Patricia M Gordon | Social Worker | 4105 Hospital St, Suite 104, Pascagoula, MS 39581-5312 | 2006-09-13 |
| 1316059108 | Patricia Dawn Gordon | Chiropractor | 1986 31st Avenue, Suite 110, Vero Beach, FL 32960-6627 | 2006-08-31 |
| Street Address |
1035 MEDICAL RIDGE RD |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
| 1316594724 | Akila Davis Boozer | Nurse Practitioner | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2019-08-20 |
| 1821561788 | Clear Skye Medical Holdings, LLC | Substance Abuse Rehabilitation Facility | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383453 | Sabrina Schotte Cook | Counselor | 10126 N Us Highway 421, Clinton, NC 28328-0271 | 2020-10-15 |
| 1194361758 | Kelly Jean Saul | Counselor | 250 20th Ave N, Clinton, IA 52732-2503 | 2019-11-19 |
| 1649757055 | Susan Wolever | Counselor | 2727 S 19th St, Clinton, IA 52732-7010 | 2018-07-27 |
| 1750868162 | Jill Ann Nothdorf-gisel | Counselor | 250 20th Ave N Ste 250, Clinton, IA 52732-2506 | 2018-07-27 |
| 1326492554 | Jeffrey Marcus Hunt | Counselor | 65 Old Route 22, Suite 7b, Clinton, NJ 08809-0000 | 2016-04-13 |
| 1356742027 | Robert C. Hardin Sr. | Counselor | 12705 Piscataway Landing Dr, Clinton, MD 20735-6503 | 2014-09-11 |
| 1952651804 | Alberto Varela | Counselor | 1407 N 2000 W Ste A, Clinton, UT 84015-8563 | 2012-09-18 |
| 1497018287 | Melanie N Benson | Counselor | 80 N 31st St, Clinton, OK 73601-9116 | 2012-06-18 |
| 1437422755 | Anzetta Nekol Pyles | Counselor | 321 Summeral St, Clinton, SC 29325-3649 | 2012-02-16 |
| 1891981460 | Erin Lee White-fish | Counselor | 1150 Route 54 W, Clinton, IL 61727-2148 | 2007-09-18 |
| Find all providers in CLINTON | ||||
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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.