PATRICIA ODOM GORDON (NPI# 1659516870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516870 |
| Entity Type | Individual |
| Full Name | PATRICIA ODOM GORDON |
| Credential | FNP-BC |
| Practice Address |
5161 Harry Hines Blvd Dallas TX 75390-9055 |
| Practice Telephone | 2146452080 |
| Practice Fax Number | 2146452092 |
| Mailing Telephone | 2146452080 |
| Mailing Fax Number | 2146452092 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
761144 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
761144 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188237 | Patricia Gordon | Case Manager/Care Coordinator | 10 Olde Wagon Rd, Warwick, NY 10990-4224 | 2015-11-10 |
| 1841526860 | Patricia Nolan Gordon | Physical Therapist | 15 Benton Ct, Wilmington, DE 19810-3720 | 2009-10-27 |
| 1184815276 | Patricia Denise Gordon | Dentist | 1400 W Olive Ave Ste 201, Burbank, CA 91506-2416 | 2007-08-05 |
| 1922577758 | Patricia Ann Gordon | Counselor | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2018-11-22 |
| 1346546199 | Patricia Gordon | Specialist | 9 Mule Rd, E2, Toms River, NJ 08755-5043 | 2011-01-26 |
| 1124270152 | Patricia M Gordon | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2008-10-22 |
| 1740320811 | Patricia S. Gordon | Radiology | 8900 Wilshire Blvd, Beverly Hills, CA 90211-1958 | 2007-02-07 |
| 1821146333 | Patricia Evette Gordon | Social Worker | 750 Astor Avenue, Bronx, New York, NY 10467 | 2007-01-08 |
| 1972608479 | Patricia M Gordon | Social Worker | 4105 Hospital St, Suite 104, Pascagoula, MS 39581-5312 | 2006-09-13 |
| 1316059108 | Patricia Dawn Gordon | Chiropractor | 1986 31st Avenue, Suite 110, Vero Beach, FL 32960-6627 | 2006-08-31 |
| Street Address |
5161 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-9055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209558 | Christine Lynn Johnson | Physical Medicine & Rehabilitation | 5161 Harry Hines Blvd, Dallas, TX 75390-9055 | 2006-08-05 |
| 1871115006 | Madalyn Mills | Occupational Therapist | 5161 Harry Hines Blvd, Dallas, TX 75235-7707 | 2020-05-11 |
| 1790314995 | Elizabeth Waldie | Physical Therapist | 5161 Harry Hines Blvd, Dallas, TX 75235-7707 | 2020-04-08 |
| 1649690504 | Rupali Kumar | Physical Medicine & Rehabilitation | 5161 Harry Hines Blvd, Dallas, TX 75390-2604 | 2014-04-18 |
| 1306090451 | Jason A. D. Smith | Clinical Neuropsychologist | 5161 Harry Hines Blvd, Dallas, TX 75390 | 2008-11-14 |
| 1154587004 | Kim Dan Do Barker | Physical Medicine & Rehabilitation | 5161 Harry Hines Blvd, Dallas, TX 75390-9055 | 2008-07-30 |
| 1770763401 | Juan A. Cabrera | Physical Medicine & Rehabilitation | 5161 Harry Hines Blvd, Dallas, TX 75390-5165 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.