Lady-dreama Gordon (NPI# 1952841850, PAC ID# 8820324791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1952841850 |
| PAC ID by PECOS | 8820324791 |
| Professional Enrollment ID | I20190730003380 |
| Full Name | Lady-dreama Gordon |
| Address |
2770 E Main St Suite 7 Bexley OH 43209-3519 |
| Phone Number | 7408377660 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2770 E Main St, Suite 7, Bexley, OH 43209-3519 | 7408377660 |
| Street Address |
2770 E MAIN ST SUITE 7 |
| City | BEXLEY |
| State | OH |
| Zip | 43209-3519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arianna Galligher | Clinical Social Worker | 466 N Cassady Ave, Bexley, OH 43209-1027 | |
| Celler Y Otoole | Physical Therapy | 526 N Cassady Ave, Columbus, OH 43209-1033 | |
| Richard Rosenthal | Optometry | Clarkson Optometry Midwest Inc | 2978 E Broad St, Columbus, OH 43209-1965 |
| Wendy F Currier | Nurse Practitioner | American Health Network of Ohio LLC | 3180 E Broad St, Columbus, OH 43209-2055 |
| Robert D Fitch | Family Medicine | American Health Network of Ohio LLC | 3180 E Broad St, Columbus, OH 43209-2055 |
| James P Mackessy | Family Medicine | American Health Network of Ohio LLC | 3180 E Broad St, Columbus, OH 43209-2055 |
| Patrick B Doyle | Family Medicine | American Health Network of Ohio LLC | 3180 E Broad St, Columbus, OH 43209-2055 |
| Donna Estreicher | Psychologist, Clinical | 3140 E Broad St, Suite 201, Columbus, OH 43209-2066 | |
| Theodore G Borkan | Clinical Psychologist | 3140 E Broad St, Suite 101, Columbus, OH 43209-2066 | |
| Jessica L Boetcher | Physician Assistant | Arlington Urgent Care, Inc | 2216 E Main St, Bexley, OH 43209-2319 |
| Find all physicians in zip 43209 | |||
| City | BEXLEY |
| Zip Code | 43209 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BEXLEY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lady-dreama 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.