DR. DONALD GORDON (NPI# 1104810787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104810787 |
| Entity Type | Individual |
| Full Name | DR. DONALD GORDON |
| Credential | M.D. |
| Practice Address |
153 South Main Street Newtown CT 06470 |
| Mailing Address |
153 S Main St Newtown CT 06470-2791 |
| Practice Telephone | 2032701077 |
| Practice Fax Number | 2032700420 |
| Mailing Telephone | 2033649546 |
| Mailing Fax Number | 2032649572 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 27018 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001274159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427290550 | Donald Laurence Gordon | Internal Medicine | 1800 Barberry Rd, Northbrook, IL 60062-5803 | 2009-04-06 |
| 1922214899 | Donald Joseph Gordon | Emergency Medicine | 4201 Medical Dr, San Antonio, TX 78229-5656 | 2007-05-15 |
| 1295741288 | Donald Ray Gordon | Optometrist | 125 W Main St, Clinton, IL 61727-1611 | 2006-07-31 |
| 1730138371 | Donald R Gordon | Dentist | 3 Pine Tree Dr, Broomall, PA 19008-2740 | 2006-05-10 |
| 1538725825 | Donald Gordon | Licensed Practical Nurse | 801 E 241st St, Bronx, NY 10470-1303 | 2019-05-13 |
| 1912004979 | Donald E. Gordon | Physician Assistant | 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 | 2006-09-20 |
| 1821016122 | Donald J. Gordon | Nuclear Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-17 |
| 1043280662 | Donald Wayne Gordon | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2006-01-25 |
| 1285623967 | Donald G Gordon | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2005-10-17 |
| Street Address |
153 SOUTH MAIN STREET |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023048899 | Jeffrey P Friedman | Internal Medicine | 153 South Main Street, Newtown, CT 06470 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1104379874 | Stephanie Andrews | Physical Therapist | 3 Simm Ln, Newtown, CT 06470 | 2016-07-29 |
| 1215276928 | Family Health Care Physicians, Inc. | Family Medicine | 33 Chuch Hill Rd, Newtown, CT 06470 | 2013-02-01 |
| 1538439690 | Mark Pirner | Internal Medicine | 1 Stony Brook Rd, Newtown, CT 06470 | 2012-01-06 |
| 1750614699 | Kelly Mcglynn Ferjentsik | Optometrist | 14 Church Hill Road, Suite C 10, Newtown, CT 06470 | 2009-09-10 |
| 1902066921 | Kevin F Braun | Dentist | 56 Church Hill Road, Newtown, CT 06470 | 2008-06-12 |
| 1477737484 | John Hendrian Whitbeck | Physician Assistant | 172 Mt Pleasant Road, Newtown Professional Center, Newtwon, CT 06470 | 2007-12-27 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1760603831 | Andrea Leigh Schear | Social Worker | Sontasha Yoga 27 Hawleyville Rd., Newtown, CT 06470 | 2007-05-02 |
| Find all providers in zip 06470 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154682375 | Lisa Glynis Gregory | Specialist | 172 Brushy Hill Rd, Newtown, CT 06470-2520 | 2012-06-05 |
| 1609940881 | Robert S Grossman | Specialist | 45 Mount Pleasant Rd, Newtown, CT 06470-1530 | 2006-11-20 |
| 1740224062 | Ultrasound Services, Inc | Specialist | 27 Blacksmith Rd, Newtown, PA 18940-1870 | 2006-06-16 |
| 1669439808 | Maureen M Frederick | Specialist | 126 S State St, Suite 100, Newtown, PA 18940-3524 | 2006-05-01 |
| 1104821560 | Boris Goldman | Specialist | 2 Winding Brook Rd, Newtown, CT 06470-2534 | 2005-06-14 |
| 1548551328 | Martin Joseph Egan | Specialist | 770 Newtown Yardley Rd, Newtown, PA 18940-4501 | 2011-04-27 |
| 1043492515 | Ultrasound Diagnostics, LLC | Specialist | 27 Blacksmith Rd, Suite 200, Newtown, PA 18940-1870 | 2007-11-27 |
| 1528109428 | Pennswood Village | Specialist | 1382 Newtown Langhorne Rd, Newtown, PA 18940-2401 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261212 | Diana Louise Botticelli | Specialist | 5 Jackson Pl, Darien, CT 06820-2725 | 2020-06-26 |
| 1205465382 | Center for Vascular Medicine Ct, Pllc | Specialist | 136 Berlin Rd Ste 202, Cromwell, CT 06416-2622 | 2020-04-02 |
| 1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
| 1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1114430782 | Elevate Professional Services, LLC | Specialist | 19 Old Kings Hwy S Ste 120, Darien, CT 06820-4532 | 2017-11-06 |
| 1417476052 | Lauri Weil | Specialist | 104 Old Washington Rd, Ridgefield, CT 06877-5918 | 2017-09-14 |
| 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.