DR. GORDON VINCENT (NPI# 1538157771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538157771 |
| Entity Type | Individual |
| Full Name | DR. GORDON VINCENT |
| Credential | M.D. |
| Practice Address |
1901 South 1st Street Imaging Service (114t) Temple TX 76504-7451 |
| Practice Telephone | 2547430875 |
| Practice Fax Number | 2547424682 |
| Mailing Telephone | 2547430875 |
| Mailing Fax Number | 2547424682 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2010-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F2083 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1901 SOUTH 1ST STREET IMAGING SERVICE (114T) |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386739886 | Ramadevi M Reddy | Internal Medicine | 1901 South 1st Street, Temple, TX 76504-9976 | 2006-10-03 |
| 1538173414 | Alejandro Pulido | Emergency Medicine | 1901 South 1st Street, Olin Teague Va Medical Center, Temple, TX 76504 | 2006-07-28 |
| 1356320493 | Gerald Francis Dreher Sr. | Emergency Medicine | 1901 South 1st Street, Temple, TX 76504 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134574882 | Kurt Fraivillig | Radiology | 2401 S 31st St # Ms 01w256, Temple, TX 76508-0001 | 2016-05-02 |
| 1699069260 | Grace M Thomas | Radiology | 1213 Waters Dairy Rd, Apt 1015, Temple, TX 76502-3425 | 2011-06-01 |
| 1518268812 | Physicians of King's Daughters, Pa | Radiology | 1909 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2010-11-03 |
| 1851453534 | Matthew Brandon Crisp | Radiology | Scott & White Healthcare Radiology, 2401 S 31st St, Temple, TX 76508-0001 | 2006-12-15 |
| 1285743369 | Johnnie Gene Hutka | Radiology | 7312 Boutwell Dr., Temple, TX 76502-4208 | 2006-08-30 |
| 1750497566 | Harry Heungho Ko | Radiology | 1901 S 1st Street, Temple, TX 76504-9976 | 2006-08-22 |
| 1205849445 | Yashodeep P Jadhav | Radiology | 1901 S First Street, Temple, TX 76504-9976 | 2006-08-15 |
| 1720436900 | Jared Corn | Radiology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-29 |
| 1053768788 | Robert Edward Smith | Radiology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-23 |
| 1598142226 | Gregory Ryan Stenoien | Radiology | 2401 S 31st St, Ms-01-w256, Temple, TX 76508-0001 | 2015-05-01 |
| Find all providers in TEMPLE | ||||
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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.