MR. JONATHAN GORDON (NPI# 1538647698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538647698 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN GORDON |
| Credential | NP-C |
| Practice Address |
1419 Grande Mesa Dr Georgetown TX 78626-7079 |
| Practice Telephone | 5125894599 |
| Mailing Telephone | 5125894599 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
841626 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP138312 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299501 | Jonathan D Gordon | Psychologist | 310 Cedar Ln Fl 2, Teaneck, NJ 07666-3441 | 2017-12-01 |
| 1720322852 | Jonathan Gordon | Dentist | 1250 Garth Rd, Baytown, TX 77520-2423 | 2012-11-15 |
| 1255669727 | Jonathan Dales Gordon | Dentist | 5425 Verna Blvd, Jacksonville, FL 32205-4762 | 2009-11-21 |
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1235766940 | Jonathan Gordon | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-24 |
| 1104004886 | Jonathan Gordon | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-02-05 |
| 1932236528 | Jonathan L Gordon | Family Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-28 |
| 1255448767 | Jonathan Melvin Gordon | Dentist | 414 N Camden Dr, Suite 1260, Beverly Hills, CA 90210-4532 | 2006-08-23 |
| 1043232879 | Jonathan P. Gordon | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2006-07-24 |
| 1336173418 | Jonathan E Gordon | Optometrist | 4320 W Broward Blvd, Suite 2, Plantation, FL 33317-3756 | 2006-07-11 |
| Street Address |
1419 GRANDE MESA DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1922619584 | Shawn Marie Kraus | Nurse Practitioner | 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 | 2020-08-16 |
| 1063022465 | Whitney Elizabeth Bauer | Nurse Practitioner | 112 Mallory Ln, Georgetown, KY 40324-1282 | 2020-07-31 |
| 1891311338 | Abby Hiller | Nurse Practitioner | 313 Square Bnd, Georgetown, TX 78633-4674 | 2020-06-20 |
| 1891311791 | Community Medical Center LLC | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-06-17 |
| 1801419213 | Megan Patrick | Nurse Practitioner | 3293 Center Rd, Georgetown, SC 29440-6792 | 2020-05-20 |
| 1962046284 | Christopher Earl Jaisingh | Nurse Practitioner | 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 | 2019-10-30 |
| 1083262059 | Bridget J. Pennell | Nurse Practitioner | 117 Village Blvd, Georgetown, KY 40324-8517 | 2019-09-03 |
| 1366902223 | Leslie Robin Duff | Nurse Practitioner | 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 | 2019-03-25 |
| 1518422047 | Ray of Hope Recoveries Inc | Nurse Practitioner | 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 | 2019-02-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on MR. JONATHAN GORDON.
| 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.