DR. GORDON THOMAS FLETCHER (NPI# 1578835799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578835799 |
| Entity Type | Individual |
| Full Name | DR. GORDON THOMAS FLETCHER |
| Credential | M.D. |
| Practice Address |
128 Guillard Rd Prospect PA 16052-2702 |
| Practice Telephone | 7243689450 |
| Practice Fax Number | 7243680450 |
| Mailing Telephone | 7243689450 |
| Mailing Fax Number | 7243680450 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD26659L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255350369 | Gordon Earl Fletcher | Dentist | 1904 Hardy St, Hattiesburg, MS 39401-4983 | 2006-07-19 |
| 1518091495 | Gordon L Fletcher | Audiologist | 336 10th Ave Ne, Hickory, NC 28601-3834 | 2007-03-15 |
| Street Address |
128 GUILLARD RD |
| City | PROSPECT |
| State | PA |
| Zip Code | 16052-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1225636608 | Hannah Elizabeth Colt | Respiratory Therapist, Certified | 30 Blue Trail Dr, Prospect, CT 06712-1401 | 2020-10-16 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1043821648 | Melissa Anne Peet | Physical Therapist | 40 Union City Rd, Prospect, CT 06712-1584 | 2020-08-17 |
| 1316556335 | Matthew Gregory Gleis | Dentist | 10515 Meeting St Unit 104, Prospect, KY 40059-6524 | 2020-07-26 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1669091898 | Eliza S Homer | Counselor | 6 Hilltop Ln, Prospect, ME 04981-4158 | 2020-04-08 |
| 1902432537 | Dhda Providerco, Pllc | Dentist | 13104 W Highway 42, Prospect, KY 40059-9102 | 2020-03-16 |
| 1023642485 | Dunn Physical Therapy, Pllc | Clinic/Center | 9506 Norton Commons Blvd, Prospect, KY 40059-7520 | 2020-02-25 |
| 1619500980 | Next Step Counseling, LLC | Social Worker | 37 Juggernaut Rd, Prospect, CT 06712-1407 | 2020-02-14 |
| Find all providers in PROSPECT | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| 1063649283 | Esbenshade Medical Care PC | Family Medicine | 2615 Crabapple Cir, Perkasie, PA 18944-5460 | 2009-06-15 |
| Find all providers with the same taxonomy | ||||
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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.