MR. SCOTT ROBERT GORDON (NPI# 1316233992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316233992 |
Entity Type | Individual |
Full Name | MR. SCOTT ROBERT GORDON |
Credential | MT (AMT) |
Practice Address |
330 Merlot Dr # 41 Prosser WA 99350-9551 |
Practice Telephone | 5094602947 |
Mailing Telephone | 5094602947 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497024475 | Scott Michael Gordon | Dentist | 1238 N Main Ave, Scranton, PA 18508-2130 | 2011-12-21 |
1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
1306003058 | Scott S Gordon | Physician Assistant | 700 West Broadway, Fritch, TX 79036-1570 | 2008-05-20 |
1588765002 | Scott Jason Gordon | Counselor | 174 Blue Grass Ct, Angier, NC 27501-6861 | 2006-09-26 |
1821038159 | Scott Gordon | Psychiatry & Neurology | 200 S Ritchie Ave, Ravenswood, WV 26164-1721 | 2006-06-07 |
1083612071 | Scott Thomas Gordon | Dentist | 3905 Rr 620 N, Austin, TX 78734-2120 | 2005-07-13 |
1487003646 | Scott Morris Gordon | Hearing Instrument Specialist | 6091 Linglestown Rd, Harrisburg, PA 17112-1208 | 2016-06-08 |
1649679259 | Scott Gordon | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2014-08-19 |
1487080685 | Scott Gordon | Case Manager/Care Coordinator | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2013-09-19 |
1730514423 | Scott David Gordon | Internal Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901 | 2013-09-12 |
Street Address |
330 MERLOT DR # 41 |
City | PROSSER |
State | WA |
Zip Code | 99350-9551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801272182 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 471 Wine Country Road, Prosser, WA 99350 | 2015-08-10 |
1083091466 | Sarah Min | Pediatrics | Prosser Clinic-prosser Memorial Health, 336 Chardonnay Ave Suite A, Prosser, WA 99350 | 2015-05-05 |
1174939805 | Kiranmayi Korimerla | Family Medicine | 336 Chardinnay Ave #a, Kadlec Clinic Prosser Primary Care, Prosser, WA 99350 | 2014-07-02 |
1427478965 | Dzmitry Zhmurouski | Internal Medicine | 336 Chardonnay Ave., Suite A, Prosser, WA 99350 | 2014-04-23 |
1972920080 | David Carl | Pediatrics | Benton City Clinic-prosser Memorial Health, 701 Dale Ave Suite A, Benton City, WA 99350 | 2014-03-26 |
1619310554 | Weslee Chew | Surgery | Prosser Specialty Clinic-prosser Memorial Health, 820 Memorial Street Suite 3, Prosser, WA 99350 | 2013-04-10 |
1871844894 | Teresa Renee Charvet | Physician Assistant | 336 Chardonnay Ave Bldg 3, Prosser, WA 99350 | 2012-10-01 |
1376894048 | Walla Walla General Hospital | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2012-09-21 |
1902162274 | Nicole Deanne Denny | Speech-Language Pathologist | 326 Chardonnay Blvd, Prosser Physical Therapy and Rehab, Prosser, WA 99350 | 2012-04-11 |
1386934461 | Brian G Sollers | Obstetrics & Gynecology | 336 Chardonnay Ave, Bldg 3, Prosser, WA 99350 | 2011-04-11 |
Find all providers in zip 99350 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851911275 | Evangeline Abelgas | Spec/Tech, Pathology | 6826 20th St E Unit 1, Fife, WA 98424-3516 | 2020-04-27 |
1538346648 | Nancy Christine Hall | Spec/Tech, Pathology | 29 Nespelem/san Poil Street, Nespelem, WA 99155-0071 | 2008-01-31 |
1811179864 | Richard Edward Vroman | Spec/Tech, Pathology | 101 N 54th Ave, Yakima, WA 98908-3147 | 2007-12-01 |
1225183304 | Nathan O. Town | Spec/Tech, Pathology | 401 Buster Rd., Toppenish, WA 98948 | 2007-01-25 |
1174607931 | Sandra Lee Nomee | Spec/Tech, Pathology | 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 | 2006-10-25 |
1205315983 | Wilbur Domenden Bautista | Spec/Tech, Pathology | 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405 | 2018-08-13 |
1073805164 | Kathryn Elkins | Spec/Tech, Pathology | 401 Buster Rd, Toppenish, WA 98948-9792 | 2011-05-06 |
1831421460 | Chester Alan Lubrin Flores | Spec/Tech, Pathology | 921 Terry Ave, Seattle, WA 98104-1239 | 2010-02-08 |
1326122540 | James R Moore | Spec/Tech, Pathology | 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 | 2006-10-24 |
Please comment or provide details below to improve the information on MR. SCOTT ROBERT 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.