MRS. ELLEN M GORDON (NPI# 1417924572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417924572 |
Entity Type | Individual |
Full Name | MRS. ELLEN M GORDON |
Credential | LPN |
Practice Address |
1523 Wake Ave Riverside OH 45431-1235 |
Practice Telephone | 9376239143 |
Practice Fax Number | 9372535419 |
Mailing Telephone | 9376239143 |
Mailing Fax Number | 9372535419 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | PN095501 | OH | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033254 | Ellen B. Gordon | Counselor | 533 Wagstaff Drive, East Meadow, NY 11554 | 2020-08-12 |
1780238725 | Ellen Gordon | Social Worker | 1844 Route 112 Ste A, Coram, NY 11727-2337 | 2019-07-29 |
1700369485 | Ellen Mae Gordon | Social Worker | 182 Church St, Newton, MA 02458-1962 | 2018-09-10 |
1487719035 | Ellen Elizabeth Gordon | Speech-Language Pathologist | 4350 Warm Springs Rd, Suite 500, Columbus, GA 31909-5464 | 2006-12-26 |
1275910168 | Ellen R Gordon | Student in an Organized Health Care Education/Training Program | 3209 Dryden Dr, Madison, WI 53704-3015 | 2015-04-30 |
1750712295 | Ellen Gordon | Marriage & Family Therapist | 1151 Dove St Ste 245, Newport Beach, CA 92660-2806 | 2013-12-10 |
1477668903 | Ellen M Gordon | Dermatology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-21 |
1407844343 | Ellen E I Gordon | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
Street Address |
1523 WAKE AVE |
City | RIVERSIDE |
State | OH |
Zip Code | 45431-1235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
Find all providers in zip 45431 |
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 |
---|---|---|---|---|
1245633205 | Jaymie Mannie | Licensed Practical Nurse | 18518 Ardenwood Ln, Riverside, CA 92508-9316 | 2014-10-06 |
1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
1326399882 | Lori Ann Fijalkowski | Licensed Practical Nurse | 305 S Chester Ave, Riverside, NJ 08075-4018 | 2012-09-25 |
1245506294 | Akua A Birago | Licensed Practical Nurse | 17719 Robusta Dr, Riverside, CA 92503-7070 | 2012-03-23 |
1679871776 | Katherine H Powers | Licensed Practical Nurse | 142 Terrace Ave, Riverside, RI 02915-4727 | 2011-03-14 |
1477780872 | Crystal Lynn Echols | Licensed Practical Nurse | 9890 County Farm Road, Suite 3, Riverside, CA 92503 | 2009-06-12 |
1205094877 | Alejandro Israel Alarcon | Licensed Practical Nurse | 10015 Walnut Grove Ave, Riverside, CA 92503-5423 | 2008-05-29 |
1609056126 | Margaret Dunn | Licensed Practical Nurse | 216 Filmore St, Riverside, NJ 08075-3222 | 2007-11-13 |
1316440498 | Pamela Diem Chau Ho | Licensed Practical Nurse | 2452 Wilshire St, Riverside, CA 92501-2144 | 2018-03-14 |
1639672256 | Cynthia De La Rosa | Licensed Practical Nurse | 5870 Arlington Ave Ste 103, Riverside, CA 92504-2037 | 2018-03-09 |
Find all providers in RIVERSIDE |
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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.