CATHERINE J GORDON (NPI# 1346349487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346349487 |
| Entity Type | Individual |
| Full Name | CATHERINE J GORDON |
| Credential | M.D. |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6019845200 |
| Mailing Telephone | 6019845200 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 19315 | MS | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
19315 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08505248 | 05 | |
| MS | 194890 | 05 | |
| AL | 194890 | 05 | |
| MS | MEDICARE PTAN | 302I373520 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989220 | Catherine Gordon | Student in an Organized Health Care Education/Training Program | 1545 Divisadero St Ste 306, San Francisco, CA 94143-3400 | 2020-03-29 |
| 1407378151 | Catherine Rice Gordon | Nurse Practitioner | 1711 Massachusetts Ave Nw Apt 208, Washington, DC 20036-2101 | 2017-07-14 |
| 1346657772 | Catherine Gordon | Marriage & Family Therapist | 1001 Second Street, Suite 355, Napa, CA 94558 | 2014-07-17 |
| 1437570355 | Catherine Gordon | Registered Nurse | 33 Lansdale Ct, Ladera Ranch, CA 92694-0322 | 2013-12-19 |
| 1093960247 | Catherine Hawes Gordon | Pharmacist | 3312 Ky 54, Owensboro, KY 42303 | 2008-12-01 |
| 1497715437 | Catherine A Gordon | Obstetrics & Gynecology | 9209 W. 110th Street, Building #36, Overland Park, KS 66210 | 2006-03-24 |
| 1114307329 | Catherine Gordon | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Building 56, Suite 812, Orange, CA 92868-3201 | 2015-06-02 |
| 1811208648 | Catherine Doan Gordon | Nurse Practitioner | 346 Deep South Farm Rd Ste A, Blairsville, GA 30512 | 2010-06-26 |
| 1962698449 | Catherine Gordon | Physical Therapist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-09-19 |
| 1326110545 | Catherine M Gordon | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-11-14 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437363967 | Betty L Herrington | Pediatrics | 2500 North State Street, Jackson, MS 39216 | 2007-05-10 |
| 1083767842 | Upa Pllc Hematology | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1992892020 | Anderson Collier | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-09 |
| 1558458695 | Melissa Adams Mcnaull | Pediatrics | 2500 N State St, Children's Cancer Center, Ummc, Jackson, MS 39216-4500 | 2006-10-09 |
| 1750306767 | D. Jeanette Pullen | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-12 |
| 1477597458 | Mary Gail Smith | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| 1598709354 | Rathi V Iyer | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801015136 | Sharon Marie Pennington | Pediatrics | 7730 Old Canton Road, Building B, Madison, MS 39110 | 2007-04-25 |
| 1073735114 | Spencer K Sullivan | Pediatrics | 7730 Old Canton Rd Bldg B, Madison, MS 39110 | 2007-05-02 |
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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.