GORDON SANGHI WON (NPI# 1538370135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538370135 |
| Entity Type | Individual |
| Full Name | GORDON SANGHI WON |
| Credential | DDS |
| Practice Address |
3901 Stonegate Park Ste 100 Saint Joseph MI 49085-9137 |
| Mailing Address |
3901 Stonegate Park Ste 100 St. Joseph MI 49085 |
| Practice Telephone | 2694289500 |
| Practice Fax Number | 2694289501 |
| Mailing Telephone | 2694289500 |
| Mailing Fax Number | 2694289501 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901020191 | MI | Dental Providers |
| N | 122300000X | Dentist | 0022602 | TX | Dental Providers |
| Street Address |
3901 STONEGATE PARK STE 100 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914241 | Samuel Ernest Logan | Specialist | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2005-07-01 |
| 1922557347 | Lakeland Medical Practices | Dermatology | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2016-09-27 |
| 1417324393 | Lakeland Medical Practices | Surgery | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2015-08-27 |
| 1255525697 | American Limb & Orthopedic Co. | Prosthetic/Orthotic Supplier | 3901 Stonegate Park, Suite 200, Saint Joseph, MI 49085-9137 | 2007-08-29 |
| 1558570580 | Karen Lynne Powers | Plastic Surgery | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2007-05-22 |
| 1568504397 | Riddhi Jay Shah | Dermatology | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2007-02-12 |
| 1578655270 | Christina Diane Pareigis | Physical Medicine & Rehabilitation | 3901 Stonegate Park, Suite #500, Saint Joseph, MI 49085-9137 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861976334 | Dr. Mark B. Beard Dds, Inc | Dentist | 3115 Ashland Ave Ste 299, Saint Joseph, MO 64506-1520 | 2018-09-20 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1730521956 | Seth Rush | Dentist | 1006 W Saint Maartens Dr, Saint Joseph, MO 64506-2966 | 2013-07-29 |
| 1316248966 | Mark L. Trulsson, Dmd, P.C. | Dentist | 1409 N Belt Hwy, Saint Joseph, MO 64506-2415 | 2010-11-14 |
| 1043520224 | Samantha Hindupur | Dentist | 3410 N Pointe Dr, Saint Joseph, MO 64506-1762 | 2010-10-20 |
| 1114248051 | Ishita Seth | Dentist | 2911 S Belt Hwy, Saint Joseph, MO 64503-1587 | 2010-06-15 |
| 1174614226 | Kyle Lon Vonk | Dentist | 2607 S Cleveland Ave, Saint Joseph, MI 49085-3001 | 2006-09-27 |
| 1043223456 | David Scott Miller | Dentist | 824 Napier Ave, Saint Joseph, MI 49085 | 2006-08-15 |
| 1649212127 | Nicky Wayne Nannfeldt | Dentist | 1600 Niles Ave, Saint Joseph, MI 49085-1609 | 2006-06-11 |
| 1972556553 | Rudolf David Ronto | Dentist | 480 Ansley Dr, Saint Joseph, MI 49085-3673 | 2006-05-18 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.