DR. MICHELLE ELAINE GORDON (NPI# 1295770907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295770907 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE ELAINE GORDON |
| Credential | D.O. |
| Practice Address |
11 Peekskill Hollow Rd # 97 Putnam Valley NY 10579-3200 |
| Mailing Address |
11 Peekskill Hollow Rd # 97 Putnam Valley NY 10579-0097 |
| Practice Telephone | 8455262080 |
| Practice Fax Number | 8455262082 |
| Mailing Telephone | 8455262080 |
| Mailing Fax Number | 8455262082 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 236050-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PETAN | 4879H1 | 01 |
| NY | 2682460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562941 | Michelle Gordon | Intermediate Care Facility, Mentally Retarded | 15314 Willview Rd, Missouri City, TX 77489-2403 | 2019-01-23 |
| 1174897524 | Michelle L Gordon | Contractor | 1409 Craig Blvd, Edmond, OK 73003-3135 | 2012-03-02 |
| 1316150899 | Michelle Lea Gordon | Counselor | 100 Dar Dr., Crossnore, NC 28616-0249 | 2007-05-08 |
| 1760032122 | Michelle Renee Gordon | Licensed Practical Nurse | 1199 Vernon Odom Blvd, Akron, OH 44307-1048 | 2019-09-18 |
| 1184108235 | Michelle Diane Gordon | Social Worker | 80 Everett Ave, Chelsea, MA 02150-2339 | 2018-09-24 |
| 1275997413 | Michelle Gordon | Specialist | 673 Columbia Tpke, East Greenbush, NY 12061-2130 | 2016-04-13 |
| 1437404787 | Michelle Gordon | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-23 |
| 1447523972 | Michelle Gordon | Social Worker | 80 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2012-02-14 |
| 1245551522 | Michelle D Gordon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2010-06-21 |
| 1801929526 | Michelle Judith Gordon | Speech-Language Pathologist | 6508 Gunn Highway, Tampa, FL 33625-4022 | 2007-03-13 |
| Street Address |
11 PEEKSKILL HOLLOW RD # 97 |
| City | PUTNAM VALLEY |
| State | NY |
| Zip Code | 10579-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766789 | Dawn Elizabeth Miller | Early Intervention Provider Agency | 25 Hiawatha Rd, Putnam Valley, NY 10579 | 2017-08-17 |
| 1336695915 | Scott Conroy | Social Worker | 24 Pheasant Run Rd., Putnam Valley, NY 10579 | 2016-09-01 |
| 1356607592 | Susan Kovacs | Occupational Therapist | 37 Park Drive, Putnam Valley, NY 10579 | 2012-04-02 |
| 1699083956 | Shelby J Isaac | Pharmacist | 7 Pheasnt Run Rd, Putnam Valley, NY 10579 | 2010-09-21 |
| 1013142751 | Christine Linda Hankel | Registered Nurse | 13 Longridge Trail, Putnam Valley, NY 10579 | 2009-05-26 |
| 1629130448 | Shashikant Ochhavlal Desai | Pediatrics | 4 Morrissay Drive, Putnam Valley, NY 10579 | 2006-12-15 |
| 1477622439 | Edyta Skladzinska-reyher | Internal Medicine | Waterside Professional Park, Oregon Rd., Suite 105, Putnam Valley, NY 10579 | 2006-11-06 |
| 1437235926 | Alan R Coffino | Internal Medicine | 53 Peekskill Hollow Rd, Putnam Valley, NY 10579 | 2006-10-27 |
| 1003833617 | Putnam Valley Volunteer Ambulance Corporations Inc | Ambulance | 218 Oscawana Lake Road, Putnam Valley, NY 10579 | 2006-07-17 |
| 1669438941 | Yevgeniya Shurp | Pediatrics | 4 Morrisey Drive, Putnam Valley, NY 10579 | 2006-04-25 |
| Find all providers in zip 10579 | ||||
| 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 |
|---|---|---|---|---|
| 1407371354 | Amanda Gabrielle Alba | Specialist | 658 Oscawana Lake Rd, Putnam Valley, NY 10579-1500 | 2017-08-11 |
| 1497142152 | Elizabeth Sanchirico-ulrich | Specialist | 10 Homesdale Dr, Putnam Valley, NY 10579-2509 | 2015-04-21 |
| 1700133824 | Silvia Meister | Specialist | 69 Lincoln Rd, Putnam Valley, NY 10579-2614 | 2012-08-08 |
| 1417202763 | Dawn M Smyth | Specialist | 392 Peekskill Hollow Rd, Putnam Valley, NY 10579-2704 | 2012-07-23 |
| 1437412244 | Kimmarie Gould | Specialist | 18 Partridge Ln, Putnam Valley, NY 10579-2800 | 2012-06-18 |
| 1699037846 | Barbara A Volpe | Specialist | 15 Cindy Ln, Putnam Valley, NY 10579-3235 | 2012-06-13 |
| 1578824694 | Mary Theresa Vickers | Specialist | 6 Florence Rd, Putnam Valley, NY 10579-3422 | 2012-06-05 |
| 1255402020 | Shehla Y Naqvi | Specialist | 101 Waterside Professional Park, Suite 1, Putnam Valley, NY 10579-3502 | 2006-11-13 |
| 1942661236 | My Care Medical Services PC | Specialist | 101 Waterside Professional Park, Suite 1, Putnam Valley, NY 10579-3502 | 2016-03-14 |
| 1902168974 | Martha Tiresina Rabson | Specialist | 10 Birch Hill Rd, Putnam Valley, NY 10579-2602 | 2012-06-14 |
| Find all providers in PUTNAM VALLEY | ||||
| City | PUTNAM VALLEY |
| Zip Code | 10579 |
Please comment or provide details below to improve the information on DR. MICHELLE ELAINE GORDON.
| 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.