LISA GORDON


Address: 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201
Phone: 8033953900

LISA GORDON (NPI# 1497187744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18441 SC Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA GORDON

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

Office Location

Street Address 1175 COOK RD
SUITE 230
City ORANGEBURG
State SC
Zip Code 29118-8201

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ORANGEBURG
Zip Code 29118

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Dataset Information

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.

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