Michelle E Gordon (NPI# 1295770907, PAC ID# 9133144736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1295770907 |
| PAC ID by PECOS | 9133144736 |
| Professional Enrollment ID | I20051012001121 |
| Full Name | Michelle E Gordon |
| Organization Legal Name | NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP |
| Address |
11 Peekskill Hollow Rd Suite 97 Putnam Valley NY 10579-3200 |
| Phone Number | 8455262080 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4587761598 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330267 | NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 Peekskill Hollow Rd, Suite 97, Putnam Valley, NY 10579-3200 | 8455262080 | NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP |
| Organization Legal Name | NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca N Redhead | General Surgery | Northern Westchester Surgical Associates, LLP | 11 Peekskill Hollow Rd, Suite 97, Putnam Valley, NY 10579-3200 |
| Street Address |
11 PEEKSKILL HOLLOW RD SUITE 97 |
| City | PUTNAM VALLEY |
| State | NY |
| Zip | 10579-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Licata | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| Laura Mieszerski | Obstetrics/gynecology | 11 Peekskill Hollow Rd, Suite 204, Putnam Valley, NY 10579-3200 | |
| Bianca N Redhead | General Surgery | Northern Westchester Surgical Associates, LLP | 11 Peekskill Hollow Rd, Suite 97, Putnam Valley, NY 10579-3200 |
| Robert Hoffman | Medical Toxicology | New York University | 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 |
| Valerie J Zarcone | Internal Medicine | 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 | |
| Adrien J Kant | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| James Edward Lyles Jr. | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith E Teague | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Richard J Foley | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Laurie Barnum | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Cristine M Poole | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Amram Lavi Romer | Occupational Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Karin Lipke | Occupational Therapy | Ivyrehab Physical Therapy, Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Paul J Kastuk Jr. | Chiropractic | 21 Peekskill Hollow Rd, Suite 104, Putnam Valley, NY 10579-3254 | |
| Michelle Landberg Berner | Psychologist, Clinical | 5 Mueller Mountain Rd, Putnam Valley, NY 10579-3313 | |
| Marsha L Amstel | Clinical Social Worker | 203 Waterside Professional Park, Putnam Valley, NY 10579-3505 |
| City | PUTNAM VALLEY |
| Zip Code | 10579 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PUTNAM VALLEY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michelle E 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.