DR. IAN DAVID GORDON (NPI# 1104876853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104876853 |
| Entity Type | Individual |
| Full Name | DR. IAN DAVID GORDON |
| Credential | MD |
| Practice Address |
8109 Hinson Farm Rd Suite 501 Alexandria VA 22306-3415 |
| Practice Telephone | 7037803223 |
| Practice Fax Number | 7037809408 |
| Mailing Telephone | 7037803223 |
| Mailing Fax Number | 7037809408 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0101044678 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906539 | Ian Gordon | Physician Assistant | 4120 W Memorial Rd, Suite 300, Oklahoma City, OK 73120-9320 | 2014-01-30 |
| 1437245289 | Ian Louis Gordon | Surgery | 5901 E 7th Street, Vamc Long Beach, Long Beach, CA 90822 | 2006-10-05 |
| Street Address |
8109 HINSON FARM RD SUITE 501 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872993 | Gary M Davidson | Family Medicine | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2005-06-22 |
| 1063895118 | Robin Korin | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2015-07-08 |
| 1790194017 | Christian Lavenia | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2014-08-12 |
| 1851700678 | Hoa Huynh | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2014-08-06 |
| 1467869834 | Catherine Diakiwsky | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2014-07-17 |
| 1689986671 | Nada Osman | Internal Medicine | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2010-07-08 |
| 1508188996 | Jonathan Mccone Jr. Md PC | Internal Medicine | 8109 Hinson Farm Rd, Suite 515, Alexandria, VA 22306 | 2010-02-25 |
| 1013245059 | Cheryl Jeanne Reynolds | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2009-12-03 |
| 1942461819 | Nethra Katikireddy | Internal Medicine | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2008-06-23 |
| 1699934489 | Ana Maria Born | Family Medicine | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
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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.