STEVEN MARK GORDON (NPI# 1013925783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013925783 |
| Entity Type | Individual |
| Full Name | STEVEN MARK GORDON |
| Credential | PMHNP-BC |
| Practice Address |
10015 Old Columbia Rd Suite B-215 Columbia MD 21046-1703 |
| Practice Telephone | 4109882503 |
| Practice Fax Number | 4102906273 |
| Mailing Telephone | 4109882503 |
| Mailing Fax Number | 4102906273 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R144658 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R144658 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427527837 | Steven Keith Gordon | Pharmacist | 3010 Us Highway 80 Ste B, Bloomingdale, GA 31302-4557 | 2018-11-14 |
| 1083106033 | Steven Gordon | Counselor | 207 Prospect Park West, Suite #1, Brooklyn, NY 11215 | 2018-06-05 |
| 1235450586 | Steven Lars Gordon | Surgery | 17183 I 45 S Ste 390, Shenandoah, TX 77385-3313 | 2010-06-21 |
| 1255469300 | Steven Emmett Gordon | Dentist | 4020 Elnora Dr, Macon, GA 31210 | 2007-03-01 |
| 1922159920 | Steven Gordon | Optometrist | 51 Katonah Ave, Katonah, NY 10536-2103 | 2007-01-16 |
| 1932287398 | Steven Gordon | Physical Therapist | 143 Raymond Rd Unit 8, Coppola Physical Therapy and Fitness Gym, Candia, NH 03034-2133 | 2006-11-02 |
| 1104907575 | Steven Paul Gordon | Optometrist | 26300 Cedar Rd Ste 2005, Beachwood, OH 44122 | 2006-10-18 |
| 1740381052 | Steven Wittenberg Gordon | Family Medicine | 12312 Russell St, Ste 101, Overland Park, KS 66209-2531 | 2006-09-26 |
| 1225045511 | Steven Gordon | Social Worker | 66 Harned Rd, Ste 4, Commack, NY 11725-3527 | 2006-08-01 |
| 1326017302 | Steven Adam Gordon | Podiatrist | 8577 Sudley Rd Ste A, Manassas, VA 20110-3860 | 2006-03-14 |
| Street Address |
10015 OLD COLUMBIA RD SUITE B-215 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809454 | Alexa Kalmbach | Behavioral Analyst | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-10-26 |
| 1114532819 | Alexis Pumphrey | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-09-10 |
| 1457964207 | Gregory Gaydosh | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-08-30 |
| 1861004699 | Patricia Amorasingh | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-08-22 |
| 1952913782 | Robert Harrison | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-08-22 |
| 1316578123 | Christine C Okemkpa | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2020-01-30 |
| 1568008647 | Katerine Alvarez-ramirez | Behavioral Analyst | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2019-11-22 |
| 1730740598 | Jacob Robert Wagman | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2019-06-24 |
| 1144794447 | Madison Elaine Likens | Behavior Technician | 10015 Old Columbia Rd, Suite F100, Columbia, MD 21046 | 2019-01-20 |
| 1215407713 | Eugene Belin Jr. | Behavior Technician | 10015 Old Columbia Rd, Columbia, MD 21046-1703 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906879 | Claudine Njob | Nurse Practitioner | 5500 Knoll North Dr Ste 220, Columbia, MD 21045-2362 | 2020-09-15 |
| 1366081887 | Mavis Kisseadoo | Nurse Practitioner | 10208 Hickory Ridge Rd Apt 302, Columbia, MD 21044-4688 | 2020-01-01 |
| 1942768528 | American Psychiatric Care LLC | Nurse Practitioner | 8895 Centre Park Dr Ste E2, Columbia, MD 21045-1966 | 2019-03-04 |
| 1700341948 | Anu John | Nurse Practitioner | G. Werber Bryan Psychiatric Hospital, 220 Faison Drive, Columbia, SC 29203 | 2019-02-01 |
| 1457838633 | Lisa Eunjoo Sohn | Nurse Practitioner | 6310 Stevens Forest Rd Ste 100, Columbia, MD 21046-3208 | 2018-07-20 |
| 1558864157 | Yetunde Olaleye | Nurse Practitioner | 7067 Columbia Gateway Dr Ste 108, Columbia, MD 21046-3407 | 2018-03-10 |
| 1538667431 | Truhope.3 LLC | Nurse Practitioner | 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044-3648 | 2018-01-25 |
| 1174038590 | Elizabeth Jane Eggebrecht | Nurse Practitioner | 2715 Colonial Dr Ste 100, Columbia, SC 29203-6818 | 2017-12-07 |
| 1639540420 | Stacy S Mallare | Nurse Practitioner | 10954 Hilltop Ln, Columbia, MD 21044-3780 | 2015-10-19 |
| 1790097913 | Ana C Duarte | Nurse Practitioner | 10632 Little Patuxent Pkwy Ste 410, Columbia, MD 21044-3252 | 2010-07-02 |
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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.