MAUREEN GORDON (NPI# 1356704704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356704704 |
| Entity Type | Individual |
| Full Name | MAUREEN GORDON |
| Practice Address |
154 Willow Pond Way Penfield NY 14526-2626 |
| Practice Telephone | 5857509908 |
| Mailing Telephone | 5857509908 |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 158752 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232910 | Maureen Theresa Gordon | Psychologist | 501 Silverside Rd Ste 145, Wilmington, DE 19809-1372 | 2019-06-01 |
| 1871756700 | Maureen Ann Gordon | Case Manager/Care Coordinator | 202 W 8th St, Tulsa, OK 74119-1419 | 2008-07-10 |
| 1659406361 | Maureen Fulchiero Gordon | Psychiatry & Neurology | 11980 San Vicente Blvd, #704, Los Angeles, CA 90049-5012 | 2007-02-22 |
| 1255370763 | Maureen E Gordon | Physical Therapist | 598 Cynwood Dr Ste 101, Easton, MD 21601-3875 | 2006-06-06 |
| 1902871924 | Maureen Gordon | Nurse Anesthetist, Certified Registered | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-02-22 |
| Street Address |
154 WILLOW POND WAY |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579820 | Tracy A Avery | Licensed Practical Nurse | 1931 Harris Rd, Penfield, NY 14526-1821 | 2018-12-17 |
| 1891288387 | Lauren Lee Hollingsworth | Licensed Practical Nurse | 11 Katsura Ct, Penfield, NY 14526-2611 | 2018-06-11 |
| 1295242675 | Alexandra Marie Lilly | Licensed Practical Nurse | 20 Glen Valley Dr, Penfield, NY 14526-9766 | 2018-01-06 |
| 1952818569 | Karen Wegener | Licensed Practical Nurse | 197 Penbrooke Dr, Penfield, NY 14526-2018 | 2018-01-04 |
| 1396272530 | Jessica Lauren Mccann | Licensed Practical Nurse | 8 Hotchkiss Cir, Penfield, NY 14526-1402 | 2017-05-18 |
| 1043681935 | Christina Domicello | Licensed Practical Nurse | 1505 Shoecraft Rd, Penfield, NY 14526-9707 | 2015-10-17 |
| 1164767695 | Lesya Dyakiv | Licensed Practical Nurse | 43 Colonial Dr, Penfield, NY 14526-1032 | 2012-12-10 |
| 1881988640 | Elisa Annette Biedenbach | Licensed Practical Nurse | 105 Willow Pond Way, Penfield, NY 14526-2619 | 2011-06-08 |
| 1033403076 | Kellene Francys Paul | Licensed Practical Nurse | 259 Penbrooke Dr, Penfield, NY 14526-2022 | 2011-06-07 |
| 1902102387 | Jennifer Levy | Licensed Practical Nurse | 1095 Whalen Rd, Penfield, NY 14526-1731 | 2011-02-02 |
| Find all providers in PENFIELD | ||||
Please comment or provide details below to improve the information on MAUREEN 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.