GORDON W AIR (NPI# 1689676843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689676843 |
| Entity Type | Individual |
| Full Name | GORDON W AIR |
| Credential | MD |
| Practice Address |
560 South Loop Rd Edgewood KY 41017-3454 |
| Practice Telephone | 8593012663 |
| Practice Fax Number | 8593010655 |
| Mailing Telephone | 8593012663 |
| Mailing Fax Number | 8593010655 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 15743 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64157431 | 05 | |
| KY | ANTHEM | 000000249588 | 01 |
| KY | RAILROAD MEDICARE | CB8861 | 01 |
| KY | MEDICARE DME | 0428850004 | 01 |
| KY | MEDICAID DME | 90008962 | 01 |
| Street Address |
560 SOUTH LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886767 | Marie E Fightmaster | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1316937287 | David L Grome | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017-5102 | 2005-10-24 |
| 1386634251 | Donna S Hoffmann | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1487644373 | Margaret E Robinson | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1184614059 | Stacey R Mcconnell | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1386634160 | Robert Allen Gredig | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017-5102 | 2005-10-24 |
| 1023008828 | Matthew Scott Williams | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1689678914 | Thomas A Koenig | Physician Assistant | 560 South Loop Rd, Edgewood, KY 41017-3454 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1982650875 | Robert K Johnson | Orthopaedic Surgery | 4 Woodrun Ct, Edgewood, KY 41017-9606 | 2006-05-25 |
| 1548262793 | Bruce Robert Holladay | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2005-06-01 |
| 1144612318 | Kishan Patel | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2015-02-25 |
| 1548675853 | Brandon Kohrs | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2014-06-25 |
| 1285070771 | William Wallace Mcclellan V | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2013-05-11 |
| 1841489259 | Adam Vincent Metzler | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2007-10-22 |
| 1376754671 | Raymond Michael Greiwe | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2007-05-25 |
| 1588879860 | James Douglas Baker | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2007-05-11 |
| 1366576233 | Ryan Patrick Finnan | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2007-03-15 |
| 1881612679 | Matthew Thomas Hummel | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2006-07-18 |
| Find all providers in EDGEWOOD | ||||
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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.