Carlene K Gordon (NPI# 1649529025, PAC ID# 4284859463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649529025 |
| PAC ID by PECOS | 4284859463 |
| Professional Enrollment ID | I20140701001766 |
| Full Name | Carlene K Gordon |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Address |
121 Courthouse Ln Bowling Green VA 22427-9336 |
| Phone Number | 8046335840 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769546530 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490022 | MARY WASHINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 Courthouse Ln, Bowling Green, VA 22427-9336 | 8046335840 | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| 16463 Dahlgren Rd, King George, VA 22485-5810 | 5406449505 | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Alice Argo | Nurse Practitioner | Mary Washington Healthcare Physicians | 11 Smokehouse Dr, Suite 101, Fredericksburg, VA 22406-8455 |
| Teresa Kerge | Physical Medicine and Rehabilitation | Mary Washington Healthcare Physicians | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 |
| Agostino Visioni | Neurosurgery | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4466 |
| Maurice Stephen Mandell Jr. | Internal Medicine | Mary Washington Healthcare Physicians | 121 Courthouse Ln, Bowling Green, VA 22427-9336 |
| Stephani C Lowery | Nurse Practitioner | Mary Washington Healthcare Physicians | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Carol Campbell | Nurse Practitioner | Mary Washington Healthcare Physicians | 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546-5812 |
| Victoria E Grady | Internal Medicine | Mary Washington Healthcare Physicians | 10620 Spotsylvania Ave, Fredericksburg, VA 22408-2637 |
| Lasandra Denise Jackson | General Surgery | Mary Washington Healthcare Physicians | 125 Hospital Ctr Blvd, Suite 309, Stafford, VA 22554-6204 |
| Bhavin S Suthar | Interventional Pain Management | Mary Washington Healthcare Physicians | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 |
| Carol A Keenan | Physical Therapy | Mary Washington Healthcare Physicians | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 |
| Street Address |
121 COURTHOUSE LN |
| City | BOWLING GREEN |
| State | VA |
| Zip | 22427-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice Stephen Mandell Jr. | Internal Medicine | Mary Washington Healthcare Physicians | 121 Courthouse Ln, Bowling Green, VA 22427-9336 |
| Antonio Edgardo Valdes Dapena | Family Medicine | Mary Washington Healthcare Physicians | 121 Courthouse Ln, Bowling Green, VA 22427-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel I Huot | Family Medicine | Central Virginia Health Services Inc | 102 W Broaddus Ave, Suite 200, Bowling Green, VA 22427-9404 |
| Andrew F Walker | Family Medicine | Central Virginia Health Services Inc | 102 W Broaddus Ave, Suite 200, Bowling Green, VA 22427-9404 |
| Dannette E Schmidt | Nurse Practitioner | Central Virginia Health Services Inc | 102 W Broaddus Ave, Suite 200, Bowling Green, VA 22427-9404 |
| City | BOWLING GREEN |
| Zip Code | 22427 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOWLING GREEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carlene K Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.