DR. LISA JANE GORDON (NPI# 1063504041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063504041 |
| Entity Type | Individual |
| Full Name | DR. LISA JANE GORDON |
| Credential | D.C. |
| Practice Address |
5053 Durham Rd W Columbia MD 21044-1449 |
| Practice Telephone | 4107335231 |
| Mailing Telephone | 4107335231 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01372 | MD | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551726 | Lisa Gordon | Counselor | 1245 Mount Vernon Ave, Columbus, OH 43203-1578 | 2018-09-13 |
| 1639591548 | Lisa Gordon | Social Worker | 9500 Arena Dr Ste 460c, Largo, MD 20774-3755 | 2014-01-11 |
| 1912921966 | Lisa Green Gordon | Psychiatry & Neurology | 219 W. Patrick Street, Suite 100, Behavioral Health Partners, Inc., Frederick, MD 21701 | 2006-07-26 |
| 1992723910 | Lisa Joy Gordon | Social Worker | 5904 E Bramble Berry Ln, Cave Creek, AZ 85331-1577 | 2006-07-17 |
| 1861478984 | Lisa A Gordon | Family Medicine | 108 Belmont St, Worcester, MA 01605-4902 | 2005-12-20 |
| 1154981967 | Lisa Barbara Gordon | Speech-Language Pathologist | 8301 161st Ave Ne Ste 208, Redmond, WA 98052-3858 | 2019-06-14 |
| 1003272881 | Lisa Gordon | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-01-08 |
| 1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
| 1871895250 | Lisa Gordon | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2010-11-17 |
| 1235382714 | Lisa Gordon | Physician Assistant | 800 Washington St, Boston, MA 02111-1552 | 2008-10-29 |
| Street Address |
5053 DURHAM RD W |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470281 | Palmercare Chiropractic Columbia Inc | Chiropractor | 6851 Oak Hall Ln Ste 301, Columbia, MD 21045-5846 | 2020-02-28 |
| 1639700909 | Kylar Sue Mccann | Chiropractor | 4200 Merchant St Ste 105, Columbia, MO 65203-5816 | 2020-01-27 |
| 1447880331 | Alisha Squires | Chiropractor | 2024 Cherry Hill Dr Ste 101, Columbia, MO 65203-5921 | 2020-01-20 |
| 1205476108 | William H. Northern | Chiropractor | 1005 South Main St., Suite A, Columbia, IL 62236-9998 | 2020-01-09 |
| 1285276857 | Unity Chiropractic LLC | Chiropractor | 110 Office Park Dr, Columbia, KY 42728-1380 | 2019-10-15 |
| 1871056846 | John Terrier | Chiropractor | 10630 Little Patuxent Pkwy Ste 329, Columbia, MD 21044-3204 | 2019-04-08 |
| 1417410549 | Matthew Hux | Chiropractor | 1221 Bower Pkwy Ste 108, Columbia, SC 29212-3734 | 2019-04-06 |
| 1841764057 | Nourishing Life Wellness, LLC | Chiropractor | 7300 Grace Dr # 1a, Columbia, MD 21044-2473 | 2019-01-22 |
| 1790259158 | Raquel Heisse | Chiropractor | 1997 Waterfront Dr N Apt E, Columbia, MO 65202-8953 | 2019-01-17 |
| 1548732449 | Midlands Family Chiropractic, LLC | Chiropractor | 6030 Saint Andrews Rd Ste M, Columbia, SC 29212-3164 | 2018-12-18 |
| Find all providers in COLUMBIA | ||||
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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.