LISA GORDON (NPI# 1497187744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497187744 |
Entity Type | Individual |
Full Name | LISA GORDON |
Credential | FNP |
Practice Address |
1175 Cook Rd Suite 230 Orangeburg SC 29118-8201 |
Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
Practice Telephone | 8033953900 |
Practice Fax Number | 8033953920 |
Mailing Telephone | 8033954561 |
Mailing Fax Number | 8033952237 |
Enumeration Date | 2013-08-08 |
Last Update Date | 2015-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18441 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629551726 | Lisa Gordon | Counselor | 1245 Mount Vernon Ave, Columbus, OH 43203-1578 | 2018-09-13 |
1639591548 | Lisa Gordon | Social Worker | 9500 Arena Dr Ste 460c, Largo, MD 20774-3755 | 2014-01-11 |
1063504041 | Lisa Jane Gordon | Chiropractor | 5053 Durham Rd W, Columbia, MD 21044-1449 | 2006-09-28 |
1912921966 | Lisa Green Gordon | Psychiatry & Neurology | 219 W. Patrick Street, Suite 100, Behavioral Health Partners, Inc., Frederick, MD 21701 | 2006-07-26 |
1992723910 | Lisa Joy Gordon | Social Worker | 5904 E Bramble Berry Ln, Cave Creek, AZ 85331-1577 | 2006-07-17 |
1861478984 | Lisa A Gordon | Family Medicine | 108 Belmont St, Worcester, MA 01605-4902 | 2005-12-20 |
1154981967 | Lisa Barbara Gordon | Speech-Language Pathologist | 8301 161st Ave Ne Ste 208, Redmond, WA 98052-3858 | 2019-06-14 |
1003272881 | Lisa Gordon | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2016-01-08 |
1871895250 | Lisa Gordon | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2010-11-17 |
1235382714 | Lisa Gordon | Physician Assistant | 800 Washington St, Boston, MA 02111-1552 | 2008-10-29 |
Street Address |
1175 COOK RD SUITE 230 |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-8201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982680336 | Julius W Babb IIi | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2005-12-19 |
1912378290 | Tjuana Faith Durden Seidl | Physician Assistant | 1175 Cook Rd, Suite 225, Orangeburg, SC 29118-8201 | 2015-10-13 |
1023457389 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd, Orangeburg, SC 29118-8201 | 2013-06-20 |
1740592476 | Drs. Williamson & Gillespie, Pa | Clinic/Center | 1175 Cook Rd, Suite 145, Orangeburg, SC 29118-8201 | 2010-07-10 |
1851527717 | Family Health Centers, Inc. At Cook Road | Specialist | 1175 Cook Rd, Medical Arts Center, Suite 305, Orangeburg, SC 29118-8201 | 2009-06-05 |
1164665428 | Kimberly Evonne Miller-hammond | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2009-04-15 |
1164690012 | Internal Medicine & Infectious Diseases Specialists | Specialist | 1175 Cook Rd, Suite 115, Orangeburg, SC 29118-8201 | 2008-02-13 |
1669654448 | Jerome B Degen | Obstetrics & Gynecology | 1175 Cook Rd, Suite 305, Orangeburg, SC 29118-8201 | 2007-12-03 |
1518177807 | Orangeburg Oral Surgery & Implant Center | Dentist | 1175 Cook Rd, Ste 135, Orangeburg, SC 29118-8201 | 2007-05-23 |
1508923194 | Mark Joseph Krzyston | Internal Medicine | 1175 Cook Rd, Ste 225, Orangeburg, SC 29118-8201 | 2007-01-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023635935 | Chinise Kayanna Clinton | Nurse Practitioner | 2310 Magnolia St, Orangeburg, SC 29115-3731 | 2020-06-26 |
1245742774 | Stacy Jill Hoover | Nurse Practitioner | 1995 Saint Matthews Rd, Orangeburg, SC 29118-2405 | 2017-10-24 |
1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
1598894214 | Janet C Russo | Nurse Practitioner | 6 Kingswood Dr, Orangeburg, NY 10962-1806 | 2007-03-06 |
1558389502 | Julia A Hobson | Nurse Practitioner | 3310 Magnolia Street, Orangeburg, SC 29115-1468 | 2006-07-18 |
1508882184 | Colleen Marcia Kilgore | Nurse Practitioner | 1620 Broughton St, Orangeburg, SC 29115-4867 | 2006-07-15 |
1285650515 | Lynn E Glenn | Nurse Practitioner | 141 Centre Street, Orangeburg, SC 29115 | 2006-07-13 |
1689678310 | Vicki Clinton Green | Nurse Practitioner | 1550 Carolina Ave, Orangeburg, SC 29115-4944 | 2005-06-10 |
1619504248 | Tamara Till | Nurse Practitioner | 1324 Grove Park Dr, Orangeburg, SC 29115-2455 | 2020-03-24 |
1134778699 | Emilee Robin Bartley | Nurse Practitioner | 1161 Cook Rd, Orangeburg, SC 29118-8204 | 2019-09-08 |
Find all providers in ORANGEBURG |
City | ORANGEBURG |
Zip Code | 29118 |
Please comment or provide details below to improve the information on LISA 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.