GREGORY A GORDON (NPI# 1518917301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518917301 |
| Entity Type | Individual |
| Full Name | GREGORY A GORDON |
| Credential | D.O. |
| Practice Address |
3700 Southern Blvd Ste 401 Kettering OH 45429-1226 |
| Practice Telephone | 8555002873 |
| Practice Fax Number | 9372813913 |
| Mailing Telephone | 8555002873 |
| Mailing Fax Number | 9372813913 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
34004894 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0948925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518092089 | Gregory John Gordon | Chiropractor | 1494 S Arlington St, Suite B, Akron, OH 44306-3832 | 2007-02-23 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1427102821 | Gregory D Gordon Jr. | Orthopaedic Surgery | 9150 Huebner Rd Ste 390, San Antonio, TX 78240-1545 | 2007-01-22 |
| 1639105794 | Gregory Andrew Gordon | Psychiatry & Neurology | 232 Market St, Suite 234, Flowood, MS 39232-3339 | 2006-06-23 |
| 1205804267 | Gregory I Gordon | Radiology | 981045 Nebraska Medical Ctr, Omaha, NE 68198-1045 | 2006-03-08 |
| 1295720472 | Gregory J Gordon | Chiropractor | 76 Federal St, Salem, MA 01970-3209 | 2005-09-14 |
| 1235124777 | Gregory S Gordon | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-12 |
| 1871884197 | Gregory Gordon | Community Health Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2011-04-20 |
| 1114959335 | Gregory J Gordon | Anesthesiology | 2500 Metrohealth Dr, Mhmc-anesthesiology, Cleveland, OH 44109-1900 | 2006-07-07 |
| 1548204464 | Gregory R Gordon | Family Medicine | 333 N Oxford Valley Rd, Ste 201, Fairless Hills, PA 19030 | 2006-06-15 |
| Street Address |
3700 SOUTHERN BLVD STE 401 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341760 | Alejandro R Calvo | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2005-10-27 |
| 1972060424 | Asia Richardson | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2019-02-20 |
| 1740768340 | Brandie Lyn Mcguire | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2018-08-06 |
| 1457754236 | Sarah-jane E. Mcpherson | Physician Assistant | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2014-10-07 |
| 1144537135 | Roxana Aguirre Pedroza | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2010-09-11 |
| 1942461702 | Hetal Desai | Physician Assistant | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2008-06-24 |
| 1295929875 | Emily Jo Franks | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-08-28 |
| 1568674554 | Rebecca Mae Tuttle | Surgery | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2007-05-04 |
| 1134340599 | Deborah Ann Wise | Registered Nurse | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-05-02 |
| 1356464614 | Brandon J Cutler | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558540674 | Ashantice Kenyana Higgins | Internal Medicine | 3700 Southern Blvd, Suite 401, Kettering, OH 45429-1226 | 2007-10-25 |
| 1457341760 | Alejandro R Calvo | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2005-10-27 |
| 1568855104 | Alliance Physicians Inc | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-03-06 |
| 1831451129 | Susan Bal | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2012-06-12 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1568743292 | Alliance Physician Inc | Internal Medicine | 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 | 2011-09-08 |
| 1255612974 | Alliance Physician Inc | Internal Medicine | 3535 Southern Blvd, 4th Floor, Kettering, OH 45429-1221 | 2011-09-08 |
| 1295929875 | Emily Jo Franks | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-08-28 |
| 1356464614 | Brandon J Cutler | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-04-09 |
| 1407806474 | Gary L Nicholson | Internal Medicine | 3120 Governors Place Blvd, Kettering, OH 45409-1328 | 2006-05-11 |
| Find all providers in KETTERING | ||||
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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.