JAY M. GORDON (NPI# 1699838490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699838490 |
| Entity Type | Individual |
| Full Name | JAY M. GORDON |
| Credential | R. N. |
| Practice Address |
6666 S Sheridan Rd Tulsa OK 74133-1756 |
| Mailing Address |
2809 E Oakridge St Broken Arrow OK 74014-5008 |
| Practice Telephone | 9184932727 |
| Practice Fax Number | 9184932990 |
| Mailing Telephone | 9182588571 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
R0070280 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063594042 | Jay T Gordon | Dentist | 3004 H G Mosley Pkwy, Longview, TX 75605-2948 | 2006-10-19 |
| 1346450863 | Jay S. Gordon | Chiropractor | 1133 Park Ave, Plainfield, NJ 07060-3006 | 2007-05-23 |
| 1952439341 | Jay N. Gordon | Pediatrics | 901 Montana Ave, Ste. C, Santa Monica, CA 90403-1544 | 2007-02-28 |
| 1255439014 | Jay B Gordon | Psychologist | 1683 Route 88, Brick, NJ 08724 | 2006-09-20 |
| Street Address |
6666 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74133-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720164221 | Christina Dawes Lee | Pharmacist | 6666 S Sheridan Rd, Suite 100, Tulsa, OK 74133-1756 | 2006-10-27 |
| 1396916862 | Lisa Nell Davis | Registered Nurse | 6666 S Sheridan Rd, Suite 100, Tulsa, OK 74133-1756 | 2008-03-12 |
| 1124229125 | Freedom Hospice | Hospice Care, Community Based | 6666 S Sheridan Rd, Suite 102, Tulsa, OK 74133-1756 | 2007-05-29 |
| 1306976915 | Home Options Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 6666 S Sheridan Rd, Tulsa, OK 74133-1763 | 2007-03-06 |
| 1255409736 | Barbara Jo Webb | Registered Nurse | 6666 S Sheridan Rd, 100, Tulsa, OK 74133-1756 | 2006-12-01 |
| 1356418545 | Ann Marie Hall | Registered Nurse | 6666 S Sheridan Rd, Tulsa, OK 74133-1756 | 2006-11-30 |
| 1447327929 | Martha Lorraine Thoma | Registered Nurse | 6666 S Sheridan Rd, Tulsa, OK 74133-1756 | 2006-11-29 |
| 1154497097 | John Richard Jenen | Pharmacist | 6666 S Sheridan Rd, Suite 100, Tulsa, OK 74133-1756 | 2006-11-24 |
| 1629143763 | Marc Webb | Pharmacy Technician | 6666 S Sheridan Rd, Ste 100, Tulsa, OK 74133-1756 | 2006-11-22 |
| 1568537702 | Kimberly Ann Jones | Pharmacist | 6666 S Sheridan Rd, Suite 100, Tulsa, OK 74133-1756 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 163WI0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infusion Therapy |
| Definition to come... |
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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.