GEORGE GORDON (NPI# 1942858329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942858329 |
| Entity Type | Individual |
| Full Name | GEORGE GORDON |
| Practice Address |
4895 Windward Passage Dr Ste 6 Boynton Beach FL 33436-7741 |
| Practice Telephone | 5618778753 |
| Mailing Telephone | 5618778753 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 00000 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188436 | George R Gordon | Anesthesiology | 46 Mill Pond Cir, Milford, MA 01757-1287 | 2006-03-23 |
| 1225016249 | George Richard Gordon | Emergency Medicine | 860 Copper Rd, Copper Mountain Clinic, Copper Mountain, CO 80443 | 2006-01-09 |
| 1669530713 | George David Gordon | Dentist | 612 Brighton Ave, Portland, ME 04102-2359 | 2006-12-04 |
| Street Address |
4895 WINDWARD PASSAGE DR STE 6 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932553880 | Jacob Pistor | Clinic/Center | 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 | 2016-04-18 |
| 1326696543 | Angela Hosey | Social Worker | 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 | 2019-08-30 |
| 1740838192 | Andrew Vivadelli | Behavior Technician | 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 | 2019-08-29 |
| 1659840361 | Jessica Monique Nixon | Counselor | 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293300 | Doreen Moroney | Prevention Professional | 2221 Harrison St, Titusville, FL 32780-4611 | 2018-07-30 |
| 1386130003 | Harvestreapersintl Chaplain Association | Prevention Professional | 5460 N State Road 7 Ste 122, Ft Lauderdale, FL 33319-2968 | 2018-07-05 |
| 1851807150 | Pink Wildlife LLC | Prevention Professional | 5130 Main St Ste 3, New Port Richey, FL 34652-2105 | 2017-12-21 |
| 1306371794 | Rami Brown | Prevention Professional | 126 White Fawn Dr, Daytona Beach, FL 32114-1459 | 2017-04-24 |
| 1417481698 | Maureen Holdreith Digulimio | Prevention Professional | 13755 Oleander Ave, Juno Beach, FL 33408-1623 | 2017-04-14 |
| 1851832075 | Cyndi Caballero | Prevention Professional | 253 Ne 2nd St Apt 610, Miami, FL 33132-2289 | 2017-03-20 |
| 1164963922 | Greg Perkins | Prevention Professional | 2161 Lake Debra Dr, Suite 1716, Orlando, FL 32835-6378 | 2017-03-13 |
| 1093254716 | Hathor Wellcare Center Inc | Prevention Professional | 14269 Sw 42nd St, Miami, FL 33175-6408 | 2017-02-14 |
| 1316486111 | Samuel Castillo | Prevention Professional | 7323 Sw 134th Pl, Miami, FL 33183-3241 | 2017-02-14 |
| 1356888366 | Acucentral LLC | Prevention Professional | 8180 Nw 36th St Ste 304, Doral, FL 33166-6660 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
Please comment or provide details below to improve the information on GEORGE 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.