THOMAS R VAN GORDER (NPI# 1568486843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568486843 |
| Entity Type | Individual |
| Full Name | THOMAS R VAN GORDER |
| Credential | MD |
| Practice Address |
240 Riverside Dr Johnson City NY 13790-2732 |
| Practice Telephone | 6077989356 |
| Practice Fax Number | 6077971707 |
| Mailing Telephone | 6077989356 |
| Mailing Fax Number | 6077971707 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 155343-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01014626 | 05 |
| Street Address |
240 RIVERSIDE DR |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275510307 | Scott F. Hage | Optometrist | 240 Riverside Dr, Suite One, Johnson City, NY 13790-2732 | 2005-12-29 |
| 1780101956 | Molly Ursula Feeney | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2017-08-28 |
| 1184173536 | Tyler Rathmell | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2016-09-27 |
| 1710369426 | Kord Williams | Nurse Practitioner | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2015-06-18 |
| 1467832444 | Utsav Hanspal | Family Medicine | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2015-06-04 |
| 1922362672 | Endwell Family Physicians LLP | Family Medicine | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-06-27 |
| 1548521610 | Southern Tier Physical Therapy of Johnson City | Specialist | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-06-05 |
| 1487929691 | Karli Rena Campbell | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-03-21 |
| 1841433422 | Robert Thomas Vangorder | Orthopaedic Surgery | 240 Riverside Dr, Tier Orthopaedics Associates, Johnson City, NY 13790-2732 | 2009-04-13 |
| 1275786618 | Mindi Anne Donahue | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2008-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043421779 | Timothy Douglas Jenkins | Orthopaedic Surgery | 2410 Susannah Street, Johnson City, TN 37601 | 2007-05-24 |
| 1457577736 | Ted Ford Sykes | Orthopaedic Surgery | 1602 Seward Dr, Johnson City, TN 37604-7144 | 2007-04-17 |
| 1689744526 | Orest Myroslav Wasyliw | Orthopaedic Surgery | 441 Riverside Drive, Johnson City, NY 13790-2711 | 2006-11-08 |
| 1053378273 | David R Hardin | Orthopaedic Surgery | 111 Pine Ct, Johnson City, TN 37601-5357 | 2006-05-01 |
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1245740422 | Blakeley Elizabeth Burleson | Orthopaedic Surgery | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2017-10-02 |
| 1437565074 | Alan J Aiken | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2014-07-03 |
| 1891041489 | Scott R Macdonald | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2012-08-01 |
| 1912260654 | Dustin Michael Price | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-06-18 |
| 1326307687 | Thomas W Gill Jr. | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-05-08 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on THOMAS R VAN GORDER.
| 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.