DR. ROGER LEE GORDON (NPI# 1336225929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336225929 |
Entity Type | Individual |
Full Name | DR. ROGER LEE GORDON |
Credential | M.D. |
Practice Address |
4300 N University Dr A202 Sunrise FL 33351-6249 |
Practice Telephone | 9547493040 |
Practice Fax Number | 9547493090 |
Mailing Telephone | 9547493040 |
Mailing Fax Number | 9547493090 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | ME82538 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043778392 | Roger Alan Gordon | Registered Nurse | 6905 Tom Fett Rd, Bluffton, OH 45817-9708 | 2019-03-06 |
Street Address |
4300 N UNIVERSITY DR A202 |
City | SUNRISE |
State | FL |
Zip Code | 33351-6249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902892300 | Laura C. Hohnecker | Psychologist | 4300 N University Dr, Suite C100, Sunrise, FL 33351-6249 | 2005-09-21 |
1497075832 | Kevin Mosca | Plastic Surgery | 4300 N University Dr, A #202, Sunrise, FL 33351-6249 | 2010-06-08 |
1346477346 | Professional Diagnostic Inc. | Specialist/Technologist, Other | 4300 N University Dr, B-203, Sunrise, FL 33351-6249 | 2009-06-17 |
1508007063 | Leigh S Silverstein | Technician, Other | 4300 N University Dr, B-203, Sunrise, FL 33351-6249 | 2009-03-13 |
1255582144 | Executive Pharmacy LLC | Pharmacy | 4300 N University Dr, Ste E-200, Sunrise, FL 33351-6249 | 2008-10-09 |
1437367299 | Total Care Dental, Pa | Dentist | 4300 N University Dr, Sunrise, FL 33351-6249 | 2007-05-17 |
1760516819 | Felicia Serpico | Psychologist | 4300 N University Dr, Suite B-207, Sunrise, FL 33351-6249 | 2007-03-14 |
1609914282 | Stanley Sherman | Plastic Surgery | 4300 N University Dr, A202, Sunrise, FL 33351-6249 | 2007-02-03 |
1679646269 | Psychological Alliance Pl | Psychologist | 4300 N University Dr, C100, Sunrise, FL 33351-6249 | 2006-11-15 |
1063591097 | Melih Erogul | Plastic Surgery | 4300 N University Dr, A-202, Sunrise, FL 33351-6249 | 2006-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
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Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497075832 | Kevin Mosca | Plastic Surgery | 4300 N University Dr, A #202, Sunrise, FL 33351-6249 | 2010-06-08 |
1609914282 | Stanley Sherman | Plastic Surgery | 4300 N University Dr, A202, Sunrise, FL 33351-6249 | 2007-02-03 |
1063591097 | Melih Erogul | Plastic Surgery | 4300 N University Dr, A-202, Sunrise, FL 33351-6249 | 2006-11-02 |
1821174368 | Anire Okpaku | Plastic Surgery | 4300 N University Dr, A202, Sunrise, FL 33351-6249 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
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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.