MATTHEW GORDON (NPI# 1063021962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063021962 |
| Entity Type | Individual |
| Full Name | MATTHEW GORDON |
| Practice Address |
31 Garden Lane Waverly WV 26184 |
| Practice Telephone | 3042661237 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275055071 | Matthew Gordon | Physical Therapist | 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334 | 2017-07-13 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1306812342 | Matthew C Gordon | Specialist/Technologist | 5603 Jane Austen St, Houston, TX 77005-1959 | 2006-02-28 |
| 1760025340 | Matthew Gordon | Pharmacist | 1601 W Kennedy Blvd, Tampa, FL 33606-1844 | 2019-10-25 |
| 1275980120 | Matthew Gordon I | Physical Therapy Assistant | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-1223 | 2016-05-20 |
| 1710396494 | Matthew Gordon | Physical Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-08-07 |
| 1417215401 | Matthew R. Gordon | Orthopaedic Surgery | 800 Washington St, Boston, MA 02111-1552 | 2012-04-26 |
| 1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
| 1447544820 | Matthew David Gordon | Chiropractor | 79 Hillsdale St, Hillsdale, MI 49242-1208 | 2011-06-03 |
| 1922391952 | Matthew Gordon | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-05-24 |
| Street Address |
31 GARDEN LANE |
| City | WAVERLY |
| State | WV |
| Zip Code | 26184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746437 | Janie Elizabeth Green | Technician | 934 Love Hill Rd, Waverly, WV 26184-3264 | 2017-12-26 |
| 1437760550 | Melissa Delancy | Technician | 78 Pebble Creek Dr, Waverly, WV 26184-3505 | 2020-08-12 |
| 1558872671 | Joni Yvette Hackathorn | Technician | 76 Pineview Estates Dr, Waverly, WV 26184-7014 | 2017-10-16 |
| 1245849306 | Maria George | Technician | 15774 Emerson Ave, Waverly, WV 26184-8002 | 2020-07-24 |
| 1013514900 | Victoria Sue Kerrigan | Technician | 3034 Bull Run Rd, Waverly, WV 26184-8122 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768486 | Shelly Entler | Home Health Aide | 19448 State Route 772, Waverly, OH 45690-8910 | 2020-10-21 |
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1821605338 | Quest Diagnostics | Clinical Medical Laboratory | 227 Valley View Dr Ste A, Waverly, OH 45690-9135 | 2020-09-29 |
| 1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
| 1760094452 | Sunnycho Teeling | Counselor | 408 W Bremer Ave, Waverly, IA 50677-3153 | 2020-08-23 |
| 1891303442 | Wendy Jean Lougher | Licensed Practical Nurse | 441 Pennsylvania Ave, Waverly, NY 14892-1451 | 2020-07-20 |
| 1851919039 | Robert Brant | Nurse Practitioner | 20 Fairway Oaks, Waverly, GA 31565-2767 | 2020-07-14 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1881214583 | Tiara Dastineau | In Home Supportive Care | 2240 Avenue A, Waverly, FL 33877 | 2020-04-22 |
| 1902439565 | Joslynne Stauss | Registered Nurse | 13401 Amberly Rd, Waverly, NE 68462-5700 | 2020-02-21 |
| Find all providers in WAVERLY | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514900 | Victoria Sue Kerrigan | Technician | 3034 Bull Run Rd, Waverly, WV 26184-8122 | 2020-10-05 |
| 1437760550 | Melissa Delancy | Technician | 78 Pebble Creek Dr, Waverly, WV 26184-3505 | 2020-08-12 |
| 1245849306 | Maria George | Technician | 15774 Emerson Ave, Waverly, WV 26184-8002 | 2020-07-24 |
| 1245746437 | Janie Elizabeth Green | Technician | 934 Love Hill Rd, Waverly, WV 26184-3264 | 2017-12-26 |
| 1558872671 | Joni Yvette Hackathorn | Technician | 76 Pineview Estates Dr, Waverly, WV 26184-7014 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.