MRS. LISA A GORDON (NPI# 1952501959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952501959 |
| Entity Type | Individual |
| Full Name | MRS. LISA A GORDON |
| Credential | PA-C |
| Practice Address |
125 Main St Pittsfield ME 04967-4364 |
| Practice Telephone | 2074873726 |
| Practice Fax Number | 2074875725 |
| Mailing Telephone | 2074873726 |
| Mailing Fax Number | 2074875725 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2011-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA001182 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PAT9104218 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551726 | Lisa Gordon | Counselor | 1245 Mount Vernon Ave, Columbus, OH 43203-1578 | 2018-09-13 |
| 1639591548 | Lisa Gordon | Social Worker | 9500 Arena Dr Ste 460c, Largo, MD 20774-3755 | 2014-01-11 |
| 1063504041 | Lisa Jane Gordon | Chiropractor | 5053 Durham Rd W, Columbia, MD 21044-1449 | 2006-09-28 |
| 1912921966 | Lisa Green Gordon | Psychiatry & Neurology | 219 W. Patrick Street, Suite 100, Behavioral Health Partners, Inc., Frederick, MD 21701 | 2006-07-26 |
| 1992723910 | Lisa Joy Gordon | Social Worker | 5904 E Bramble Berry Ln, Cave Creek, AZ 85331-1577 | 2006-07-17 |
| 1861478984 | Lisa A Gordon | Family Medicine | 108 Belmont St, Worcester, MA 01605-4902 | 2005-12-20 |
| 1154981967 | Lisa Barbara Gordon | Speech-Language Pathologist | 8301 161st Ave Ne Ste 208, Redmond, WA 98052-3858 | 2019-06-14 |
| 1003272881 | Lisa Gordon | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-01-08 |
| 1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
| 1871895250 | Lisa Gordon | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2010-11-17 |
| Street Address |
125 MAIN ST |
| City | PITTSFIELD |
| State | ME |
| Zip Code | 04967-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790055234 | Sebasticook Valley Work Health | Clinic/Center | 125 Main St, Pittsfield, ME 04967-4364 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369667 | Cross Roads Case Management LLC | Case Management | 442 Main Street, Pittsfield, ME 04967 | 2018-09-07 |
| 1740493527 | Msad #53 | Local Education Agency (LEA) | 167 School Street, Suite A, Pittsfield, ME 04967 | 2007-05-08 |
| 1164580957 | Ciro Thomas Olivares | Social Worker | 12 Waverly Avenue, Pittsfield, ME 04967 | 2006-12-05 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1164525739 | Susan C Mcewen | Social Worker | 20 Waverly Ave, Pittsfield, ME 04967 | 2006-09-07 |
| 1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
| 1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
| 1699771980 | Sebasticook Valley Home Care | Home Health | 49 Main Street, Pittsfield, ME 04967 | 2005-06-22 |
| 1730593781 | Jeremy West | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2014-06-18 |
| 1598998916 | West Chiropractic LLC | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2009-09-02 |
| Find all providers in zip 04967 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176772 | Anita Raj | Physician Assistant | 510 North St Ste 7, Pittsfield, MA 01201-4127 | 2018-12-18 |
| 1508241688 | Cyndi Goodrich | Physician Assistant | 777 North St Ste 203, Pittsfield, MA 01201-4123 | 2015-07-30 |
| 1891967758 | Karen M Honikel | Physician Assistant | 21 George Street, Pittsfield, MA 01201 | 2008-03-31 |
| 1790870244 | Susan G. Zepka | Physician Assistant | 725 North St., Berkshire Medical Center Emergency Dept, Pittsfield, MA 01201 | 2006-10-03 |
| 1255442364 | Victoria C. Burgess | Physician Assistant | 631 B North Street, Pittsfield, MA 01201-4109 | 2006-08-31 |
| 1295761724 | Melissa Lenderman | Physician Assistant | 320 N Madison St, Pittsfield, IL 62363 | 2006-06-25 |
| 1215925011 | Jeffrey J Kellogg | Physician Assistant | 510 North St, Pittsfield, MA 01201-5493 | 2005-10-06 |
| 1245841840 | Katlyn Rowe | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2020-08-17 |
| 1578032058 | Emergency Medicine Services of Maine, LLC | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2018-11-14 |
| 1285140897 | Erin Talbot | Physician Assistant | 24 Park St, Pittsfield, MA 01201-4037 | 2017-12-19 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 04967 |
Please comment or provide details below to improve the information on MRS. LISA A 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.