GORDON FAMILY MEDICINE (NPI# 1427084755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427084755 |
Entity Type | Organization |
Organization Name | GORDON FAMILY MEDICINE |
Practice Address |
725 Oakridge Blvd Suite A-1 Lumberton NC 28358-2351 |
Practice Telephone | 9102720444 |
Practice Fax Number | 9102720445 |
Mailing Telephone | 9102720444 |
Mailing Fax Number | 9102720445 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PAUL ANTHONY NUTTALL GORDON (OWNER) |
Authorized Official Telephone | 9102720444 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
9901642 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5903383 | 05 |
Street Address |
725 OAKRIDGE BLVD SUITE A-1 |
City | LUMBERTON |
State | NC |
Zip Code | 28358-2351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417954025 | Walter Neal Jr. | Obstetrics & Gynecology | 725 Oakridge Blvd, Ste C-1, Lumberton, NC 28358-2375 | 2005-06-29 |
1548554090 | Adaora Chinyelu Otubelu | Nurse Practitioner | 725 Oakridge Blvd, Lumberton, NC 28358-2375 | 2011-06-01 |
1346570512 | Southeastern Regional Medical Center | Obstetrics & Gynecology | 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358-2351 | 2010-01-11 |
1629205687 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358-2351 | 2009-06-17 |
1053551242 | Southeastern Regional Medical Center | Clinic/Center | 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358-2351 | 2009-02-27 |
1225189483 | Loraine Ann Collins | Advanced Practice Midwife | 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358-2375 | 2007-01-15 |
1063409613 | Christine Marie Mellon | Obstetrics & Gynecology | 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358-2351 | 2005-09-29 |
1801883467 | Lumberton Obstetrics & Gynecology, Pa | Clinic/Center | 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358-2351 | 2005-09-29 |
1437158201 | Robin Yolanda Peace | Family Medicine | 725 Oakridge Blvd, Suite B2, Lumberton, NC 28358-2375 | 2005-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
Find all providers in zip 28358 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679995864 | America's Family Health Care | Clinic/Center | 3460 Capuano Road, Lumberton, NC 28358 | 2014-01-08 |
1477610228 | Ben Hardin, Md, Pa | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2007-01-02 |
1326036138 | Southeastern Integrated Care | Clinic/Center | 3005 N Elm St, Lumberton, NC 28358-2984 | 2005-10-06 |
1962941211 | Dermatherapy of Southeast Texas | Clinic/Center | 730 N Main St, Suite A, Lumberton, TX 77657-7355 | 2017-02-20 |
1235595927 | The Clinic At Walmart | Clinic/Center | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2016-01-11 |
1881083962 | Southeastern Transition and Primary Care Clinic | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2015-01-13 |
1801037262 | Robeson County Health Department | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2009-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GORDON FAMILY MEDICINE.
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.