RICHARD STEVEN GORDON (NPI# 1003868878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003868878 |
| Entity Type | Individual |
| Full Name | RICHARD STEVEN GORDON |
| Credential | M.D. |
| Practice Address |
10957 Northgreen Dr Wellington FL 33449-8054 |
| Practice Telephone | 5616424878 |
| Practice Fax Number | 5616424878 |
| Mailing Telephone | 5616424878 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
96910 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0752592 | 05 | |
| OH | MEDICAL MUTUAL | 341212779007 | 01 |
| OH | MEDICAL MUTUAL OF OH | 341212779020 | 01 |
| OH | ANTHEM | 000000026343 | 01 |
| RAILROAD MEDICARE | 300016814 | 01 | |
| US DEPARTMENT OF LABOR | 127593300 | 01 | |
| OH | FED BLK LNG | 027978400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244614 | Richard Nelson Gordon | Counselor | 6914 Rannoch Road, Bethesda, MD 20817-5475 | 2017-09-28 |
| 1134561863 | Richard Gordon | Social Worker | 5608 Brookside Dr, Argyle, TX 76226-2240 | 2013-07-23 |
| 1720240641 | Richard Ian Gordon | Social Worker | 51 Strong Rd, Ferndale, NY 12734-5213 | 2008-07-01 |
| 1679759369 | Richard Gordon | Social Worker | 12439 Se 26th Avenue, Milwaukie, OR 97222-8705 | 2008-01-14 |
| 1790806164 | Richard A. Gordon | Counselor | 1687 Lawrenceville Rd, Lawrenceville, NJ 08648-2901 | 2007-04-03 |
| 1518024660 | Richard A Gordon | Psychologist | 7575 Old Post Rd, Red Hook, NY 12571-1402 | 2007-01-01 |
| 1942366174 | Richard Alan Gordon | Specialist | 1145 Winterberry Way Se, Conyers, GA 30013-2446 | 2006-12-30 |
| 1144242645 | Richard Kenneth Gordon | Specialist | 8700 Reseda Blvd, Suite 204, Northridge, CA 91324-4041 | 2006-07-24 |
| 1154313609 | Richard E Gordon Jr. | Family Medicine | 2701 Moorefield Rd, Springfield, OH 45502-8207 | 2005-08-19 |
| 1235121955 | Richard Shawn Gordon | Surgery | 1258 W Bay Dr Ste D, Largo, FL 33770-2277 | 2005-08-18 |
| Street Address |
10957 NORTHGREEN DR |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963207 | The Rave Clinic, LLC | Radiology | 2767 S State Road 7, Wellington, FL 33414-9320 | 2019-07-09 |
| 1851754980 | South Florida Diagnostic Resources LLC | Radiology | 10754 Versailles Blvd, Wellington, FL 33449-8086 | 2016-04-05 |
| 1386034668 | Advanced Metropolitan Radiology LLC | Radiology | 9425 Worswick Ct, Wellington, FL 33414-6423 | 2015-01-26 |
| 1962590133 | Barbara Ann Nitsch | Radiology | 2618 Players Ct, Wellington, FL 33414-6296 | 2006-10-11 |
| 1326093816 | Eric M Baumel | Radiology | 12788 Forest Hill Blvd, Suite 1003, Wellington, FL 33414-4703 | 2006-05-23 |
| 1952353856 | Western Imaging Inc | Radiology | 11101 S Crown Way, Suite 1, Wellington, FL 33414-8792 | 2006-05-17 |
| 1548212285 | Gabrielle Kater | Radiology | 12798 W Forest Hill Blvd, Suit 301a, Wellington, FL 33414-4750 | 2006-05-17 |
| 1356393086 | Thomas Kirchner | Radiology | 3461 Fairlane Farms Road, Wellington, FL 33414-8792 | 2006-05-17 |
| 1619948387 | Bradley M Cohen | Radiology | 2565 S State Road 7, Wellington, FL 33414-9368 | 2006-01-30 |
| 1134666878 | Women's Diagnostic Center of Bethesda Inc. | Radiology | 10520 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3179 | 2017-01-19 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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| 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.