ALICIA GORDON


Address: 18901 Lake Shore Blvd, Euclid, OH 44119-1078
Phone: 2165319000

ALICIA GORDON (NPI# 1508490079) 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) 1508490079
Entity Type Individual
Full Name ALICIA GORDON
Practice Address 18901 Lake Shore Blvd
Euclid
OH 44119-1078
Mailing Address 40 Timber Ridge Dr
Pickerington
OH 43147-1173
Practice Telephone 2165319000
Mailing Telephone 7402580644
Enumeration Date 2020-02-24
Last Update Date 2020-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Providers ALICIA GORDON

NPI Name Taxonomy Address Enumeration
1285149955 Alicia Gordon Clinic/Center 132 Carol Cir, Fitzgerald, GA 31750-8128 2017-12-04
1063758704 Alicia Gordon Physician Assistant 1201 Alhambra Blvd, #230, Sacramento, CA 95816-5238 2012-12-28
1700079860 Alicia Gordon Nurse's Aide 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2007-08-22
1568524361 Alicia Gordon Dentist 1010 Murfreesboro Rd, Suite 196, Franklin, TN 37064-3000 2006-12-15

Office Location

Street Address 18901 LAKE SHORE BLVD
City EUCLID
State OH
Zip Code 44119-1078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275522930 Sarah B Sloop Physician Assistant 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2005-10-17
1306465430 Katherine Arlene Regula Music Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-04-09
1134758006 Lynne L Taylor Occupational Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-04-03
1861020166 Beth Farrington Occupational Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-31
1972131266 Christine Loofboro Occupational Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-31
1023646593 David Scott Lea Occupational Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-31
1922636489 Kevin Mark Daykin Occupational Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-31
1922636471 Matthew D Burnett Physical Therapist 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-31
1962039214 Victoria Lane Ferry Physical Medicine & Rehabilitation 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2020-03-26
1336797885 Kelsey Nawal Bachir Physician Assistant 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2019-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700407517 Cornerstone Behavioral Health LLC Counselor 814 E 185th Street, Suite 300, Cleveland, OH 44119 2020-05-04
1194216341 Margaret Rachelle Logan Counselor 17809 Neff Rd, Cleveland, OH 44119 2018-05-23
1093230526 Brittany Martin Registered Nurse 1060 East 177th, Cleveland, OH 44119 2017-08-05
1881047454 Vanessa Renee Smith Registered Nurse 671 E. 200th St, Euclid, OH 44119 2016-07-19
1710395264 Lakeshore Intergenerational School Psychologist 18025 Marcella Rd, Cleveland, OH 44119 2014-07-29
1184967820 Latonya Robinson Licensed Practical Nurse 18001 Harland Ave, Cleveland, OH 44119 2013-04-01
1396016911 Tameika Annmarie Anderson Registered Nurse 20301 Lindbergh Ave., Euclid, OH 44119 2012-01-13
1871805077 Tabitha L White Licensed Practical Nurse 18016 Hiller Ave, Cleveland, OH 44119 2010-07-06
1659573277 Deborah M Barker Physical Therapist 18901 Lakeshore Blvd., Euclid, OH 44119 2007-06-05
1861694234 University Primary Care Practices Inc Podiatrist 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 2007-06-05
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811465420 Brooke Mckenzie Southerland Physician Assistant 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2018-11-13
1235681867 Elise Hurtuk Physician Assistant 18901 Lake Shore Blvd, Euclid, OH 44119-1078 2016-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508418260 Collin Dees Physician Assistant Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 2019-07-12
1811469968 Cody Tyler Delaney Physician Assistant 1711 27th St Ste 306, Portsmouth, OH 45662-2669 2018-12-28
1861936155 Surgical Fusion, LLC Physician Assistant 605 N High St # 237, Columbus, OH 43215-2024 2016-12-06
1225481690 Rebekah Keesee Physician Assistant 1045 Arundel Ave, Westerville, OH 43081-1188 2016-07-20
1568814382 Kristen Cipolla Physician Assistant 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 2016-07-05
1932560083 Adam Peckinpaugh Physician Assistant 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 2016-03-17
1710348701 Alex Blake Physician Assistant 10743 S State Route 133, Blanchester, OH 45107-9435 2016-03-17
1215319926 Richard Alan Stevenson Physician Assistant 187 Vine St, Fairborn, OH 45324-3324 2015-06-18
1548641038 Matthew Hamley Physician Assistant 2315 Birch Trace Dr, Youngstown, OH 44515-4914 2015-06-10
1588094148 Kevin W. Rotondo Physician Assistant 1732 Maple St, Wickliffe, OH 44092-2423 2013-11-19
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Competitor

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City EUCLID
Zip Code 44119

Improve Information

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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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