DR. RICHARD ALAN GORDON (NPI# 1942366174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942366174 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALAN GORDON |
| Credential | M.D. |
| Practice Address |
1145 Winterberry Way Se Conyers GA 30013-2446 |
| Practice Telephone | 7704831501 |
| Practice Fax Number | 7704831894 |
| Mailing Telephone | 7704831501 |
| Mailing Fax Number | 7704831894 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 020436 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00198833A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244614 | Richard Nelson Gordon | Counselor | 6914 Rannoch Road, Bethesda, MD 20817-5475 | 2017-09-28 |
| 1134561863 | Richard Gordon | Social Worker | 5608 Brookside Dr, Argyle, TX 76226-2240 | 2013-07-23 |
| 1720240641 | Richard Ian Gordon | Social Worker | 51 Strong Rd, Ferndale, NY 12734-5213 | 2008-07-01 |
| 1679759369 | Richard Gordon | Social Worker | 12439 Se 26th Avenue, Milwaukie, OR 97222-8705 | 2008-01-14 |
| 1790806164 | Richard A. Gordon | Counselor | 1687 Lawrenceville Rd, Lawrenceville, NJ 08648-2901 | 2007-04-03 |
| 1518024660 | Richard A Gordon | Psychologist | 7575 Old Post Rd, Red Hook, NY 12571-1402 | 2007-01-01 |
| 1144242645 | Richard Kenneth Gordon | Specialist | 8700 Reseda Blvd, Suite 204, Northridge, CA 91324-4041 | 2006-07-24 |
| 1003868878 | Richard Steven Gordon | Radiology | 10957 Northgreen Dr, Wellington, FL 33449-8054 | 2006-05-17 |
| 1154313609 | Richard E Gordon Jr. | Family Medicine | 2701 Moorefield Rd, Springfield, OH 45502-8207 | 2005-08-19 |
| 1235121955 | Richard Shawn Gordon | Surgery | 1258 W Bay Dr Ste D, Largo, FL 33770-2277 | 2005-08-18 |
| Street Address |
1145 WINTERBERRY WAY SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552371 | Miaz Hair Gallery | Specialist | 1031 Railroad St Nw Ste C, Conyers, GA 30012-5108 | 2019-11-11 |
| 1821582156 | Wanda Woods | Specialist | 3672 Shale Ln Se, Conyers, GA 30013-5112 | 2018-06-20 |
| 1124329628 | Oscar Cornell Gaines | Specialist | 1380 Dogwood Dr Se, Conyers, GA 30013-5039 | 2010-11-15 |
| 1790839157 | Richard M. Robinson, M.d. P.C. | Specialist | 3240 Avalon Boulevard, Conyers, GA 30013-6320 | 2007-01-23 |
| 1871654509 | Chandar Bhimani | Specialist | 1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 | 2006-12-13 |
| 1861550410 | Womens Healthcare and Aesthetics | Specialist | 1403 Manchester Dr Ne, Conyers, GA 30012-3879 | 2006-12-05 |
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1083689533 | Michael Jerome Grady | Specialist | 1311 Milstead Ave Ne, Conyers, GA 30012-3829 | 2006-02-20 |
| 1235119207 | Mohamad El-attar | Specialist | 1372 Wellbrook Circle Ne, Conyers, GA 30012 | 2006-01-18 |
| 1154713253 | Kalie Darnell Hair Team | Specialist | 425 Sigman Rd Nw, Suite 120, Conyers, GA 30012-3635 | 2015-02-26 |
| Find all providers in CONYERS | ||||
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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.