JACOB GORDON (NPI# 1417568049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417568049 |
| Entity Type | Individual |
| Full Name | JACOB GORDON |
| Practice Address |
9520 Georgia Ave Silver Spring MD 20910-1436 |
| Mailing Address |
13104 Two Farm Dr Silver Spring MD 20904-3418 |
| Practice Telephone | 3015853136 |
| Mailing Telephone | 3019174878 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0007613 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508885492 | Jacob Martin Gordon | Dentist | 1021 Cedar Ln, Woodmere, NY 11598-1211 | 2006-07-19 |
| 1932729001 | Jacob Gordon | Family Medicine | 34 Haverhill St, Lawrence, MA 01841-2884 | 2020-04-19 |
| 1114029550 | Jacob L. Gordon | Psychiatry & Neurology | 9040 Jackson Avenue, Tacoma, WA 98431 | 2006-09-05 |
| Street Address |
9520 GEORGIA AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720039167 | Sonja Virginia Barsky | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2006-05-12 |
| 1295352300 | Jessica Ortega | Physician Assistant | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-07-06 |
| 1912546110 | Satta Yonday Samura | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-01-06 |
| 1295200863 | Princess Margaret Manley | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2018-10-09 |
| 1528558335 | Donna Hoffman | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2018-05-16 |
| 1346613585 | Cynthia Paulter | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-11-10 |
| 1063899482 | Lydia Walker | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-05-05 |
| 1689069676 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-04-06 |
| 1407264211 | Daniel Mutooni | Pharmacist | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2014-07-24 |
| 1295165918 | Susan Arreymbi | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377949 | Tesfay Mezgebe Hailu | Physician Assistant | 2700 Shanandale Dr, Silver Spring, MD 20904-1632 | 2020-05-07 |
| 1780229328 | Angela Anna Difonzo | Physician Assistant | 15900 Mount Everest Ln, Silver Spring, MD 20906-1014 | 2019-11-07 |
| 1821564972 | Abdulsemed Beshir | Physician Assistant | 8560 2nd Ave Apt 1413, Silver Spring, MD 20910-6314 | 2018-10-16 |
| 1699259549 | Edom B Zelelew | Physician Assistant | 10812 Tenbrook Dr, Silver Spring, MD 20901-1034 | 2018-09-17 |
| 1366936247 | Serena Lynne Kalish | Physician Assistant | 1121 University Blvd W Apt 503, Silver Spring, MD 20902-3318 | 2018-06-14 |
| 1437552973 | Marie Bernadette Mvogo Messobo | Physician Assistant | 11412 Grandview Ave, Silver Spring, MD 20902-2742 | 2014-09-29 |
| 1073939658 | Chinyere I Ifechukwu | Physician Assistant | 13840 Castle Blvd, Apt. 203, Silver Spring, MD 20904-7384 | 2014-03-06 |
| 1750714036 | Hailemichael Aschenaki Azerefegn | Physician Assistant | 3650 Bel Pre Rd, 24, Silver Spring, MD 20906-2670 | 2013-08-09 |
| 1114152790 | Jessicah Julinda Ray | Physician Assistant | 20 University Blvd E, Silver Spring, MD 20901-2436 | 2009-05-26 |
| 1922267947 | Sandy Han Evanson | Physician Assistant | 2415 Musgrove Rd Ste 105, Silver Spring, MD 20904-5224 | 2008-06-05 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.