RICHARD SHAWN GORDON (NPI# 1235121955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235121955 |
| Entity Type | Individual |
| Full Name | RICHARD SHAWN GORDON |
| Credential | M.D. |
| Practice Address |
1258 W Bay Dr Ste D Largo FL 33770-2277 |
| Practice Telephone | 7275863751 |
| Practice Fax Number | 7275843102 |
| Mailing Telephone | 7275863751 |
| Mailing Fax Number | 7275879340 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME90619 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 646 Virginia St Fl 4, Dunedin, FL 346986612 | 7275863751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244614 | Richard Nelson Gordon | Counselor | 6914 Rannoch Road, Bethesda, MD 20817-5475 | 2017-09-28 |
| 1134561863 | Richard Gordon | Social Worker | 5608 Brookside Dr, Argyle, TX 76226-2240 | 2013-07-23 |
| 1720240641 | Richard Ian Gordon | Social Worker | 51 Strong Rd, Ferndale, NY 12734-5213 | 2008-07-01 |
| 1679759369 | Richard Gordon | Social Worker | 12439 Se 26th Avenue, Milwaukie, OR 97222-8705 | 2008-01-14 |
| 1790806164 | Richard A. Gordon | Counselor | 1687 Lawrenceville Rd, Lawrenceville, NJ 08648-2901 | 2007-04-03 |
| 1518024660 | Richard A Gordon | Psychologist | 7575 Old Post Rd, Red Hook, NY 12571-1402 | 2007-01-01 |
| 1942366174 | Richard Alan Gordon | Specialist | 1145 Winterberry Way Se, Conyers, GA 30013-2446 | 2006-12-30 |
| 1144242645 | Richard Kenneth Gordon | Specialist | 8700 Reseda Blvd, Suite 204, Northridge, CA 91324-4041 | 2006-07-24 |
| 1003868878 | Richard Steven Gordon | Radiology | 10957 Northgreen Dr, Wellington, FL 33449-8054 | 2006-05-17 |
| 1154313609 | Richard E Gordon Jr. | Family Medicine | 2701 Moorefield Rd, Springfield, OH 45502-8207 | 2005-08-19 |
| Street Address |
1258 W BAY DR STE D |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275728586 | Rachel Irby | Internal Medicine | 1258 W Bay Dr Ste D, Largo, FL 33770-2277 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760762629 | Matthew Reynolds | Surgery | 11200 Seminole Blvd Ste 210, Largo, FL 33778-3239 | 2011-08-24 |
| 1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
| 1366630105 | Prabhu D Negi | Surgery | 8100 Merrimoor Blvd, Largo, FL 33777-3126 | 2007-10-05 |
| 1831282342 | National Wound Care Physicians Inc | Surgery | 2039 Indian Rocks Road S, Largo, FL 33774 | 2006-10-02 |
| 1528172939 | Richard F Fansler | Surgery | 12955 Seminole Blvd, Suite 210, Largo, FL 33778-2399 | 2006-08-19 |
| 1467481747 | Advanced Surgical Associates of West Fl LLP | Surgery | 1258 W Bay Dr, Suite E, Largo, FL 33770-2242 | 2006-06-30 |
| 1942204326 | Glen David Lowery | Surgery | 2039 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-06-13 |
| 1740898840 | Karen Kritsky Do Pllc | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-15 |
| 1831547660 | Karthik Sugumaran | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2016-06-02 |
| 1619343811 | Allison Superneau | Surgery | 201 14th St Sw, Attn: Graduate Medical Education, Largo, FL 33770-3133 | 2015-08-11 |
| Find all providers in LARGO | ||||
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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.