BRUCE RODERICK GORDON (NPI# 1467446542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467446542 |
| Entity Type | Individual |
| Full Name | BRUCE RODERICK GORDON |
| Credential | M.D. |
| Practice Address |
65 Cedar St Hyannis MA 02601-3009 |
| Practice Telephone | 5087900611 |
| Practice Fax Number | 5087900589 |
| Mailing Telephone | 5087900611 |
| Mailing Fax Number | 5087900589 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 47040 | MA | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
47040 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0142514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639457773 | Bruce A Gordon | General Practice | 8 Upland Ave, Mill Valley, CA 94941-1130 | 2011-07-22 |
| 1083905707 | Bruce R. Gordon | Psychologist | 270-26th St., Suite 202, Santa Monica, CA 90402 | 2011-04-28 |
| 1942430160 | Bruce Gordon | Social Worker | 778 Frontage Rd, Suite 115, Northfield, IL 60093-1209 | 2009-07-22 |
| 1760590699 | Bruce L. Gordon | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1356354658 | Bruce David Gordon | Emergency Medicine | 410 Dewey St, Wisconsin Rapids, WI 54495-8070 | 2006-08-15 |
| 1760424758 | Bruce Lewis Gordon | Ophthalmology | 170 Maple Ave, Suite 402, White Plains, NY 10601-4710 | 2006-06-12 |
| 1952348153 | Bruce M Gordon | Internal Medicine | 8150 N Central Expy, Suite M1001, Dallas, TX 75206-1815 | 2006-05-31 |
| 1689622961 | Bruce G Gordon | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| 1881657104 | Bruce Gordon | Internal Medicine | 505 E 70th St, 2nd Floor, New York, NY 10021-4872 | 2006-04-08 |
| 1801880562 | Bruce Myron Gordon | Pharmacist | 310 Otto Ln, Gambrills, MD 21054-1056 | 2005-09-08 |
| Street Address |
65 CEDAR ST |
| City | HYANNIS |
| State | MA |
| Zip Code | 02601-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355628 | Edward Farrow Caldwell | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-06 |
| 1033536123 | Cape Cod Hearing Services, Inc | Audiologist-Hearing Aid Fitter | 65 Cedar St, Hyannis, MA 02601-3009 | 2014-03-26 |
| 1053601765 | Christopher Ryan Jackson | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2011-04-14 |
| 1336399435 | Elizabeth R Mclaughlin | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2008-09-25 |
| 1790935849 | M Ellen Babin | Physician Assistant | 65 Cedar St, Hyannis, MA 02601-3009 | 2008-09-25 |
| 1033382957 | Christine Chad | Audiologist | 65 Cedar St, Hyannis, MA 02601-3009 | 2008-04-11 |
| 1346299633 | Ross Alan Johnston | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2006-05-06 |
| 1053300467 | David Alden Wood | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-10-18 |
| 1528052776 | Steven Frank Mucci | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
| 1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
| 1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
| 1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
| Find all providers in zip 02601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355628 | Edward Farrow Caldwell | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-06 |
| 1053601765 | Christopher Ryan Jackson | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2011-04-14 |
| 1336399435 | Elizabeth R Mclaughlin | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2008-09-25 |
| 1346299633 | Ross Alan Johnston | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2006-05-06 |
| 1053300467 | David Alden Wood | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-10-18 |
| 1528052776 | Steven Frank Mucci | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
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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.