MR. GORDON MATTHEW DUFFY II (NPI# 1689163701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689163701 |
| Entity Type | Individual |
| Full Name | MR. GORDON MATTHEW DUFFY II |
| Credential | ATC |
| Practice Address |
6330 Chicago Ave Pensacola FL 32526-1314 |
| Practice Telephone | 8507768976 |
| Mailing Telephone | 8507768976 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6330 CHICAGO AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32526-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274250 | Luzviminda Banares | Technician | 6303 Nashville Ave., Pensacola, FL 32526 | 2019-09-19 |
| 1972011708 | Kimberly Corner | Custodial Care Facility | 7138 Glendora St, Pensacola, FL 32526 | 2018-01-15 |
| 1174983175 | Empower Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 6866-a Pine Forest Rd, Pensacola, FL 32526 | 2016-03-03 |
| 1215324736 | Access Care Medical Group, LLC | Clinic/Center | 2123 Juno Cir, Pensacola, FL 32526 | 2015-04-22 |
| 1760733398 | Jacqueline Kathleen Clarke Jemmott | Counselor | 7203 Pine Forest Rd, Pensacola, FL 32526 | 2012-09-22 |
| 1326269986 | Linda Elena Longsworth | Pharmacist | 5975 Mobile Hwy., Pensacola, FL 32526 | 2007-05-01 |
| 1619019205 | Terence D Lunday | Dentist | 3101f W Michigan Ave, Pensacola, FL 32526 | 2007-02-12 |
| 1164571584 | James Glenn Hart Jr. | Dentist | 3101 F W Michigan Ave, Pensacola, FL 32526 | 2007-01-09 |
| 1033216528 | Holiday Cvs LLC | Pharmacy | 4500 Saufley Field Rd, Pensacola, FL 32526 | 2006-09-19 |
| 1578584942 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5975 Mobile Hwy, Pensacola, FL 32526 | 2006-07-21 |
| Find all providers in zip 32526 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927709 | Diane Marie Wood | Specialist/Technologist | 2941 Inverness Pl, Pensacola, FL 32503-5032 | 2020-06-17 |
| 1659908390 | Karli Conti | Specialist/Technologist | 4041 E Olive Rd Apt 425, Pensacola, FL 32514-6473 | 2020-03-24 |
| 1366075855 | Holly King | Specialist/Technologist | 1500 E Johnson Ave Apt 228, Pensacola, FL 32514-4671 | 2020-02-13 |
| 1659903110 | Bishod Q Clark | Specialist/Technologist | 10080 Hillview Dr Apt 153-d, Pensacola, FL 32514-5499 | 2020-02-12 |
| 1972069698 | Ashlee Viray | Specialist/Technologist | 609 Buoy Dr, Pensacola, FL 32507-8678 | 2019-02-18 |
| 1295291060 | Joseph Bloyd | Specialist/Technologist | 8247 Six Pence Dr, Pensacola, FL 32514-4746 | 2019-02-15 |
| 1407311970 | Dylan Wilson | Specialist/Technologist | 6115 N Davis Hwy Apt 48b, Pensacola, FL 32504-6988 | 2019-02-08 |
| 1740752872 | Dominque Mcwaine | Specialist/Technologist | 6853 Cedar Ridge Dr, Pensacola, FL 32526-9494 | 2018-12-31 |
| 1780154542 | Sarah Masako Gifford | Specialist/Technologist | 2424 Executive Plaza Rd, Pensacola, FL 32504-8269 | 2018-12-04 |
| 1336626712 | Hiroki Isejima | Specialist/Technologist | 9975 University Pkwy # U-235, Pensacola, FL 32514-5712 | 2018-07-27 |
| Find all providers in PENSACOLA | ||||
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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.