DR. JASON GORDON (NPI# 1497915227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497915227 |
| Entity Type | Individual |
| Full Name | DR. JASON GORDON |
| Credential | M.D. |
| Practice Address |
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538 |
| Mailing Address |
100 Brewster Blvd 100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104504159 |
| Practice Fax Number | 9104504194 |
| Mailing Telephone | 9104504159 |
| Mailing Fax Number | 9104504194 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
154668 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 154668 | NC | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588121776 | Jason Gordon | Acupuncturist | 205 E Rivo Alto Dr, Miami Beach, FL 33139-1247 | 2019-02-25 |
| 1114339553 | Jason Gordon | Counselor | 179 Davis Ave, Piscataway, NJ 08854-2467 | 2014-05-20 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1326240458 | Jason R Gordon | Dentist | 724 Pelham Pkwy S, Bronx, NY 10462-1029 | 2007-06-01 |
| 1801455597 | Jason M Gordon | Dentist | 1963 S 1200 E Ste 103, Salt Lake City, UT 84105-3523 | 2019-06-06 |
| 1033641493 | Jason Gordon | Student in an Organized Health Care Education/Training Program | 108 E 96th St, Apt 5a, New York, NY 10128-6217 | 2017-04-03 |
| 1568902278 | Jason Gordon | Physical Therapist | 321 N Larchmont Blvd Ste 825, Los Angeles, CA 90004-6400 | 2017-02-28 |
| 1790132959 | Jason R Gordon | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2016-05-18 |
| 1720245160 | Jason Gordon | Emergency Medicine | 3950 Austell Rd, Austell, GA 30106-1121 | 2008-05-22 |
| 1518024769 | Jason Gordon | Chiropractor | 162 W 56th St, Suite 205, New York, NY 10019-3831 | 2007-01-03 |
| Street Address |
100 BREWSTER BLVD NAVAL HOSPITAL |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
| 1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
| 1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
| 1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
| 1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
| 1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
| 1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965838 | Michael Wyngarden | Student in an Organized Health Care Education/Training Program | 2d Marine Division, Camp Lejeune, NC 28542 | 2018-03-13 |
| 1801259650 | Aaron Cantor | Student in an Organized Health Care Education/Training Program | 511 N Street, Camp Lejeune, NC 28547-2575 | 2016-03-30 |
| 1093948994 | Joan Marie Gonzalez | Student in an Organized Health Care Education/Training Program | 115 Mchugh Blvd., Commanding Officer 2d Den Bn/ Ndc, Camp Lejeune, NC 28542-0130 | 2009-08-26 |
| 1003047333 | Clayton Rau | Student in an Organized Health Care Education/Training Program | 2d Denbn/ndc 315 Mchugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2009-08-04 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| 1477188324 | Randi Brenai Allen | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-10 |
| 1649800012 | John Daniel Attonito | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-01-24 |
| 1588294235 | Stephanie Marie Churchman | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-01-22 |
| 1669002259 | Corbett Scott Hall | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2020-01-22 |
| 1881224699 | Brandon Helm | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-01-21 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
Please comment or provide details below to improve the information on DR. JASON 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.