DENNIS DEWAYNE GORDY (NPI# 1215935754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215935754 |
| Entity Type | Individual |
| Full Name | DENNIS DEWAYNE GORDY |
| Credential | MD |
| Practice Address |
1721 W 18th St Spencer IA 51301 |
| Mailing Address |
Po Box 420 1721 W 18th St Spencer IA 51301-0420 |
| Practice Telephone | 7122628878 |
| Practice Fax Number | 7122628807 |
| Mailing Telephone | 7122628878 |
| Mailing Fax Number | 7122628807 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 33427 | MN | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 19347 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0148312 | 05 |
| Street Address |
1721 W 18TH ST |
| City | SPENCER |
| State | IA |
| Zip Code | 51301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194954636 | Spencer Surgery and Laser Center, LLC | Clinic/Center | 1721 W 18th St, Spencer, IA 51301-2827 | 2009-07-06 |
| 1578550893 | Spencer Municipal Hospital | Clinic/Center | 1721 W 18th St, Spencer, IA 51301-2827 | 2005-10-03 |
| 1255330460 | Iowa Eye Institute, P.C. | Durable Medical Equipment & Medical Supplies | 1721 W 18th St, Box 420, Spencer, IA 51301-2827 | 2005-07-19 |
| 1831198191 | Iowa Eye Institute PC | Clinic/Center | 1721 W 18th St, Spencer, IA 51301-2827 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117468 | John Arthur Vaubel | Ophthalmology | 8 W 5th St, Spencer, IA 51301-3904 | 2005-10-11 |
| 1477769149 | Dr. John A. Vaubel, P.C. | Ophthalmology | 8 W 5th St, Spencer, IA 51301-3904 | 2007-05-16 |
| 1548221328 | Stephen P Fox | Ophthalmology | 1200 1st Ave E, Suite A, Spencer, IA 51301-4342 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245658673 | Jordan Gross | Ophthalmology | 1223 S Gear Ave Ste 309, West Burlington, IA 52655-1694 | 2014-04-02 |
| 1083976880 | Reid Phillip Turner | Ophthalmology | Wolfe Eye Clinic, 6200 Westown Parkway, Des Moines, IA 50266 | 2012-06-08 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1992003677 | Virdi Eye Clinic of Iowa | Ophthalmology | 1015 13th Ave N, Clinton, IA 52732-3479 | 2011-03-04 |
| 1366604787 | Priya Gupta | Ophthalmology | 704 Westside Dr, Iowa City, IA 52246-4369 | 2008-06-26 |
| 1215124706 | Alex Kartvelishvili | Ophthalmology | 2225 Mormon Trek Blvd Ste 100, Iowa City, IA 52246-4407 | 2007-09-27 |
| 1306064324 | Brandt Michael Riley | Ophthalmology | Hwy 122, Mason City, IA 50402-1877 | 2007-04-23 |
| 1730280421 | Peter Rhee | Ophthalmology | 999 Home Plaza, Suite 101 Wolfe Eye Clinic, Waterloo, IA 50701 | 2006-09-26 |
| 1932200052 | Eye Associates Siouxland, P.l.c. | Ophthalmology | 2800 Pierce St Ste 404, Sioux City, IA 51104-3759 | 2006-09-25 |
| 1053416172 | Herbert Stanley Thompson | Ophthalmology | 2096 Kestrel Rdg Sw, Oxford, IA 52322-9111 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DENNIS DEWAYNE GORDY.
| 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.