DR. LEMUEL DURRELL GORDEN III (NPI# 1285630905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285630905 |
| Entity Type | Individual |
| Full Name | DR. LEMUEL DURRELL GORDEN III |
| Credential | M.D. |
| Practice Address |
225b Winton M Blount Loop Montgomery AL 36117-3507 |
| Practice Telephone | 3342636228 |
| Practice Fax Number | 3342659136 |
| Mailing Telephone | 3342636228 |
| Mailing Fax Number | 3342659136 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22077 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051521812 | 01 |
| AL | HEALTH SPRINGS | G54042 | 01 |
| GA | RAILROAD | P00159247 | 01 |
| AL | 009958605 | 05 |
| Street Address |
225B WINTON M BLOUNT LOOP |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822840 | Richard W Miller Jr. | Specialist | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2005-06-27 |
| 1639379738 | Laboratory Acquisition Company PC | Clinical Medical Laboratory | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-07-18 |
| 1619171667 | Joshua Dominique Gregory Gapp | Pathology | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-06-13 |
| 1124241336 | Kelley L Taylor | Pathology | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-04-10 |
| 1043330202 | Alabama Pathology Associates PC | Clinical Medical Laboratory | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-03-30 |
| 1376612457 | Edward J Benak | Pathology | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-11-06 |
| 1790865467 | Arthur Graham Jones | Specialist | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-10-17 |
| 1164428884 | Timothy Clark Barrowman | Pathology | 225b Winton M Blount Loop, Montgomery, AL 36117-3507 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| 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 |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1699155721 | Maryethel Nutt | Specialist | 53 Quarry Rd, Montgomery, NY 12549-2524 | 2015-06-03 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR. LEMUEL DURRELL GORDEN III.
| 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.