MRS. WENDY MICHELLE GORDON (NPI# 1528079068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528079068 |
| Entity Type | Individual |
| Full Name | MRS. WENDY MICHELLE GORDON |
| Credential | LSA |
| Practice Address |
2600 Saint Michael Dr Texarkana TX 75503-2372 |
| Mailing Address |
5403 Woodline Dr Texarkana AR 71854-9236 |
| Practice Telephone | 9036141000 |
| Mailing Telephone | 9032934151 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | SA00281 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS PROVIDER NUMBER | 0055FL | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720163611 | Wendy M Gordon | Midwife | 1500 Eastlake Ave E, Seattle, WA 98102-3707 | 2006-10-26 |
| 1003214222 | Wendy Lynn Gordon | Dietitian, Registered | 1415 Madison Ave, Detroit Lakes, MN 56501-4542 | 2014-12-22 |
| 1023194917 | Wendy Gordon | Speech-Language Pathologist | 15002 N 32nd St, Phoenix, AZ 85032-4441 | 2006-10-31 |
| 1427084409 | Wendy Gordon | Psychologist | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-06-23 |
| Street Address |
2600 SAINT MICHAEL DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410637 | Jayendra D. Patel | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-08 |
| 1629682802 | Emily Rupp | Physical Medicine & Rehabilitation | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-09-03 |
| 1275168098 | Megan Hawley | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-03-12 |
| 1811521727 | Jennifer White | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-29 |
| 1821622002 | Jamie Danielle Hawthorne | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-26 |
| 1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
| 1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
| 1972075141 | Joshua Trenton Pinkham | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-12-27 |
| 1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
| 1356827935 | Jonathan Miller | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619142072 | George F. Moricz, M.d., P.a. | Specialist | 1002 Texas Blvd Ste 301, Texarkana, TX 75501-5118 | 2008-04-28 |
| 1154474674 | The Specialists for Women of Texarkana Pllc | Specialist | 1002 Texas Blvd Ste 200, Texarkana, TX 75501-5133 | 2007-01-19 |
| 1568419984 | Texarkana Eye Group Plc | Specialist | 3211 Sugar Hill Rd, Texarkana, AR 71854-9219 | 2006-05-30 |
| 1871546051 | Roger Dale House | Specialist | 2401 Summerhill Rd, Suite A, Texarkana, TX 75501-3570 | 2006-05-18 |
| 1104884386 | Mark A Wren | Specialist | 4613 Parkway Dr Ste 1, Texarkana, AR 71854-1142 | 2006-05-03 |
| 1962490458 | Charles Edward Hollingsworth II | Specialist | 5420 Medical Parkway Dr, Texarkana, TX 75503-4622 | 2005-10-10 |
| 1407841695 | Russ Todd Nelson | Specialist | 4303 Texas Blvd, Ste 8, Texarkana, TX 75503-3097 | 2005-09-14 |
| 1063419307 | Hayden H Franks | Specialist | 2011 Moores Ln, Texarkana, TX 75503-1841 | 2005-07-01 |
| 1063419646 | Stanley Cleveland Knowles | Specialist | 1920 Moores Ln, Suite A, Texarkana, TX 75503-4664 | 2005-06-28 |
| 1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
| Find all providers in TEXARKANA | ||||
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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.