DR. JOSHUA S GORDON (NPI# 1306877683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306877683 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA S GORDON |
| Credential | O.D. |
| Practice Address |
9051 Baltimore National Pike Ellicott City MD 21042-3927 |
| Mailing Address |
100 Park Ave Baltimore MD 21201-3416 |
| Practice Telephone | 4104654080 |
| Practice Fax Number | 4104618650 |
| Mailing Telephone | 4107521677 |
| Mailing Fax Number | 4107524435 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1713 | MD | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619387479 | Joshua D Gordon | Massage Therapist | 1421 Majesty Ter, Weston, FL 33327-2309 | 2014-05-02 |
| 1467636571 | Joshua Gordon | Psychiatry & Neurology | Dept of Neurology 127, Hines Va Hospital, Hines, IL 60141 | 2007-12-26 |
| 1356970727 | Joshua John Gordon | Nurse Anesthetist, Certified Registered | 405 Londonderry Dr Ste 105, Waco, TX 76712-7920 | 2020-04-07 |
| 1841829694 | Joshua Peter Gordon | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532 | 2020-04-03 |
| 1275161721 | Joshua Henry Gordon | Student in an Organized Health Care Education/Training Program | 3535 Market St Fl 2, Philadelphia, PA 19104-3317 | 2020-03-31 |
| 1205322302 | Joshua Gordon | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2018-07-02 |
| 1972037877 | Joshua Paul Gordon | Student in an Organized Health Care Education/Training Program | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2017-04-18 |
| 1801328174 | Joshua Gordon | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Third Floor, Columbus, OH 43210-1267 | 2017-03-28 |
| 1710374905 | Joshua Gordon | Emergency Medicine | 1329 Sw 16th St, Gainesville, FL 32610 | 2015-04-25 |
| 1053604108 | Joshua Asher Gordon | Orthopaedic Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-05-24 |
| Street Address |
9051 BALTIMORE NATIONAL PIKE |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775357 | David Gudipati Chandran | Psychiatry & Neurology | 9051 Baltimore National Pike, Suite 2b, Ellicott City, MD 21042-3927 | 2006-01-26 |
| 1407137961 | Fielding Psychological Associates, P.C. | Psychologist | 9051 Baltimore National Pike, Suite 4b, Ellicott City, MD 21042-3927 | 2011-08-29 |
| 1568610426 | Marianne Becker | Social Worker | 9051 Baltimore National Pike, Suite 3a, Ellicott City, MD 21042-3927 | 2008-09-04 |
| 1710196365 | Gary L. Rudacille | Dentist | 9051 Baltimore National Pike, Suite 4d, Ellicott City, MD 21042-3927 | 2007-05-21 |
| 1427270628 | Eric Daniel Poey Fielding | Psychologist | 9051 Baltimore National Pike, Suite 4b, Ellicott City, MD 21042-3927 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952796187 | Professional Vision of Ellicott City, Inc. | Optometrist | 9150 Baltimore National Pike Ste 15, Ellicott City, MD 21042-2614 | 2015-04-03 |
| 1467843516 | Myeyedr Optometry of Maryland, LLC | Optometrist | 10050 Baltimore National Pike Ste F100, Ellicott City, MD 21042-3684 | 2015-02-11 |
| 1679829030 | Danielle Baran | Optometrist | 5012 Dorsey Hall Dr Ste 105, Ellicott City, MD 21042-7909 | 2012-08-02 |
| 1801022686 | Ronak Mehta | Optometrist | 8358 Montgomery Run Rd, Unit H, Ellicott City, MD 21043-7286 | 2009-06-07 |
| 1447396700 | Michael A. Robin | Optometrist | 10176 Baltimore National Pike, Suite 113, Ellicott City, MD 21042 | 2007-01-30 |
| 1255432928 | Christina E. Generie | Optometrist | 5725 Richards Valley Rd Ste A9, A-9, Ellicott City, MD 21043-6964 | 2006-09-26 |
| 1871607549 | Ann Marie Gallagher | Optometrist | 9150 Baltimore National Pike, Ste 15, Ellicott City, MD 21042 | 2006-08-18 |
| 1669483301 | Lila Anne Goodwin | Optometrist | 10050 Baltimore National Pike, Ellicott City, MD 21042-3501 | 2006-08-10 |
| 1063448983 | Ronald Mark Berger | Optometrist | 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042-7711 | 2006-06-23 |
| 1376897157 | Ellicott City Eye Care, Inc. | Optometrist | 10176 Baltimore National Pike, Ellicott City, MD 21042-3650 | 2012-11-01 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.