DR. TRACY ROSS GORDY (NPI# 1700869666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700869666 |
| Entity Type | Individual |
| Full Name | DR. TRACY ROSS GORDY |
| Credential | M.D. |
| Practice Address |
52 W Ludlow Point Rd Port Ludlow WA 98365-8786 |
| Practice Telephone | 3604377646 |
| Practice Fax Number | 3604377646 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
C8989 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
52 W LUDLOW POINT RD |
| City | PORT LUDLOW |
| State | WA |
| Zip Code | 98365-8786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166483 | John Benjamin Martin | Massage Therapist | 91 Village Way, Pt Ludlow, WA 98365 | 2007-10-30 |
| 1316134919 | Gerald T Brady Chiropractic Professional Corp | Chiropractor | 119 Village Way, Port Ludlow, WA 98365 | 2007-09-27 |
| 1386679777 | Lewis County Hospital District No. 1 | Internal Medicine | 521 Adams Avenue, Morton, WA 98365 | 2006-07-12 |
| 1790168680 | Lauren Corbett Mahan | Behavioral Analyst | 480 Montgomery Lane, Port Ludlow, WA 98365-8052 | 2015-07-09 |
| 1760647762 | Peter Ashley Philips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 N Bay Ln, #1, Port Ludlow, WA 98365-8224 | 2008-07-20 |
| 1538242540 | Michael David Leu | Naturopath | 2965 Paradise Bay Rd, Port Ludlow, WA 98365-8739 | 2006-10-23 |
| 1356732937 | Mitzi Sturzu | Counselor | 117 Village Way, Port Ludlow, WA 98365-8792 | 2015-02-18 |
| 1548330483 | Gerald Thomas Brady | Chiropractor | 119 Village Way, Port Ludlow, WA 98365-8792 | 2006-11-08 |
| 1598105538 | Stephen P Porter, Dmd, Ps | Dentist | 9522 Oak Bay Rd, Ste 400, Port Ludlow, WA 98365-9202 | 2013-07-03 |
| 1053359257 | Thomas N Hagen | Dentist | 9522 Oak Bay Rd, Suite 400, Port Ludlow, WA 98365-9202 | 2006-06-02 |
| Find all providers in zip 98365 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811233414 | Neuropsych Program Pllc | Psychiatry & Neurology | 1446 Spaulding Park Ste 303, Richland, WA 99352-4720 | 2012-12-31 |
| 1255436382 | Thomas H. Lampe | Psychiatry & Neurology | Va Puget Sound Hcs American Lake Division, 116poc, Tacoma, WA 98493-0001 | 2006-09-13 |
| 1295846012 | Jim C Chen | Psychiatry & Neurology | 1 Lake Bellevue Dr, Suite #101, Bellevue, WA 98005-2417 | 2006-08-31 |
| 1144339078 | Lucy Y Wang | Psychiatry & Neurology | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108 | 2006-08-30 |
| 1679515142 | Ioana M Diaconu | Psychiatry & Neurology | 620 Kirkland Way, 200, Kirkland, WA 98033-6021 | 2006-06-11 |
| 1770738957 | Kris L Fincher Arnp Pllc | Psychiatry & Neurology | 24605 35th Ave S, Kent, WA 98032-4186 | 2008-12-01 |
| 1679735922 | Murray Albert Raskind | Psychiatry & Neurology | 1660 S Columbian Way, S116, Seattle, WA 98108-1532 | 2008-06-27 |
| 1801088794 | Arpan Waghray | Psychiatry & Neurology | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 | 2007-08-14 |
| 1295878064 | Robert Charles Reinach | Psychiatry & Neurology | 5455 Almira Dr Se, Bremerton, WA 98311-8330 | 2007-02-14 |
| 1235223033 | Ruth Kohen | Psychiatry & Neurology | 1959 Ne Pacific St, Seattle, WA 98195-6560 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | PORT LUDLOW |
| Zip Code | 98365 |
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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.