CHARLES R GORDON


Address: 2737 S Broadway Ave, Tyler, TX 75701-5413
Phone: 9035926000

CHARLES R GORDON (NPI# 1164535142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164535142
Entity Type Individual
Full Name CHARLES R GORDON
Credential M.D.
Practice Address 2737 S Broadway Ave
Tyler
TX 75701-5413
Mailing Address Po Box 6605
Tyler
TX 75711-6605
Practice Telephone 9035926000
Practice Fax Number 9035923224
Mailing Telephone 9035926000
Mailing Fax Number 9035951592
Enumeration Date 2006-08-16
Last Update Date 2019-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery H5238 TX Allopathic & Osteopathic Physicians

Other Providers CHARLES GORDON

NPI Name Taxonomy Address Enumeration
1942692769 Charles Gordon Physical Therapist 29 Center St Ste 1, Goffstown, NH 03045-2948 2015-03-03
1811019268 Charles Thomas Gordon IIi Psychiatry & Neurology 11204 Farmland Dr, Rockville, MD 20852-4522 2007-04-05
1821103631 Charles Albert Gordon Physical Medicine & Rehabilitation 1059 S Fairfax Ave, Los Angeles, CA 90019-4402 2006-08-20
1831164722 Charles G. Gordon Dentist 1026 Eagleridge Blvd, Pueblo, CO 81008-2130 2006-02-22
1649243890 Charles F Gordon Anesthesiology 9 Old Plank Rd Ste 100, Clifton Park, NY 12065-3107 2006-02-08
1326049529 Charles Richard Gordon Family Medicine 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 2005-08-10
1750858700 Charles Gordon Case Manager/Care Coordinator 4269 Pearl Rd, Cleveland, OH 44109-4234 2018-10-29
1134642655 Charles Gordon Nurse Anesthetist, Certified Registered 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 2017-07-18
1114382025 Charles Gordon Jr. Physician Assistant 315 S Manning Blvd, Albany, NY 12208-1707 2015-12-18
1275825135 Charles Marvin Gordon Jr. Orthopaedic Surgery 1505 Daphne Ave, Daphne, AL 36526 2011-05-11

Office Location

Street Address 2737 S BROADWAY AVE
City TYLER
State TX
Zip Code 75701-5413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071527 Mark A Hackbarth Anesthesiology 2737 S Broadway Ave, Tyler, TX 75701 2005-05-24
1194216994 Leslie Karen Partlow Nurse Practitioner 2737 S Broadway Ave, Tyler, TX 75701-5413 2018-05-29
1134633266 Wendy Prewett Nurse Practitioner 2737 S Broadway Ave, Tyler, TX 75701-5413 2017-11-28
1871044115 Travis Squyres Nurse Practitioner 2737 S Broadway Ave, Tyler, TX 75701 2016-10-21
1881076891 Preston Harmon Emergency Medicine 2737 S Broadway Ave, Tyler, TX 75701-5413 2015-06-25
1427447580 Ruben Benjamin Delarosa Physician Assistant 2737 S Broadway Ave, Tyler, TX 75701 2015-01-13
1346670726 Charles R Gordon Md Pa Pharmacy 2737 S Broadway Ave, Tyler, TX 75701-5413 2013-11-20
1437581055 Edward Lee Poe Counselor 2737 S Broadway Ave, Suite 206, Tyler, TX 75701-5413 2013-08-06
1265670749 Ellisiv Lien Physical Medicine & Rehabilitation 2737 S Broadway Ave, Tyler, TX 75701-5413 2009-01-22
1023276466 James Alan Muns Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701-5413 2008-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
Find all providers in zip 75701

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295706471 Sherri L Ten Pas Neurological Surgery 120 E Charnwood St, Suite B, Tyler, TX 75701-1708 2006-01-27
1770564320 John Stuart Crutchfield Neurological Surgery 722 Clinic Dr, Tyler, TX 75701-2001 2005-11-10
1306194188 Brent T Alford Md Pa Neurological Surgery 1356 Old Creek Dr, Tyler, TX 75703-7642 2012-08-27
1497919310 Nicholas Stephen Andrade Neurological Surgery 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 2008-07-10
1023276466 James Alan Muns Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701-5413 2008-05-31
1831373042 Andy Juney Redmond Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701-5413 2007-12-24
1669672960 Stephen Vincent Nalbach Jr. Neurological Surgery 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 2007-07-24
1588773345 Guy O Danielson IIi, M.d., P.a. Neurological Surgery 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 2006-08-29
1801905674 Guy O Danielson IIi Neurological Surgery 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4244 2006-08-29
1285747261 James E Wortham Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701 2006-08-16
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75701

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Dataset Information

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.

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