LEONARD B GORDON (NPI# 1508155375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508155375 |
| Entity Type | Individual |
| Full Name | LEONARD B GORDON |
| Credential | IDC/SMDR |
| Practice Address |
Comnavsurflant N02m 1430 Mitscher Ave Norfolk VA 23551-2494 |
| Practice Telephone | 9047180427 |
| Mailing Telephone | 9043166737 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467554121 | Leonard Steven Gordon | Dentist | 656 Quince Orchard Rd, 104, Gaithersburg, MD 20878-1409 | 2006-09-02 |
| 1255301537 | Leonard Gordon | Orthopaedic Surgery | 2300 California Street, Ste 300, San Francisco, CA 94115 | 2006-01-26 |
| 1457766099 | Leonard Gordon Jr. | Physical Therapist | 7160 N University Dr, Tamarac, FL 33321-2916 | 2014-06-23 |
| 1427097500 | Leonard F Gordon | Radiology | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2006-06-05 |
| Street Address |
COMNAVSURFLANT N02M 1430 MITSCHER AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23551-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407820426 | Jeffery Wayne Paulson | Family Medicine | Fleet Forces Command, 1562 Mitscher Ave, Ste 250, Norfolk, VA 23551-0001 | 2006-02-15 |
| 1891775532 | Martin Lewis Snyder | Surgery | U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2006-01-19 |
| 1366420853 | Supakunya Edmonson | Family Medicine | Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 | 2006-01-04 |
| 1871585448 | Tiffany A Jones | Dental Hygienist | Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2005-08-18 |
| 1831724061 | Steven Mitchell Hartzler | Physician Assistant | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2020-03-09 |
| 1194205716 | Caleb Swain | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-08-14 |
| 1548757263 | Dylan Griffiths | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr, Norfolk, VA 23551-0001 | 2018-04-18 |
| 1184129629 | Michael Uriah Hoerner | Student in an Organized Health Care Education/Training Program | Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2018-03-27 |
| 1992208763 | Philippe Andrew Warren | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-03-17 |
| 1780955534 | Christopher Halagarda | Dietitian, Registered | Us Marine Corps Forces Command, 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2012-01-25 |
| Find all providers in zip 23551 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1841694684 | Andre Huggins | Military Health Care Provider | 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 | 2014-10-21 |
| 1861753030 | Spencer Grey | Military Health Care Provider | 334 E Evans St, Norfolk, VA 23503-5213 | 2012-06-05 |
| 1073812095 | Eric William Staley | Military Health Care Provider | 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 | 2011-03-16 |
| 1497051460 | Mitchell Todd Pearce | Military Health Care Provider | 1004 Hermitage Rd., Norfolk, VA 23521-5000 | 2011-02-08 |
| 1003119538 | Shayla R Robertson | Military Health Care Provider | 150 Allen St, Norfolk, VA 23505-1373 | 2010-12-05 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1750610788 | Melissa Christine Foster | Military Health Care Provider | 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 | 2009-12-22 |
| Find all providers in NORFOLK | ||||
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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.