MR. KEVIN GORDON (NPI# 1740383736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740383736 |
| Entity Type | Individual |
| Full Name | MR. KEVIN GORDON |
| Credential | PA-C |
| Practice Address |
875 Poplar Church Rd Suite 320 Camp Hill PA 17011-2203 |
| Practice Telephone | 7177637400 |
| Practice Fax Number | 7179099566 |
| Mailing Telephone | 7177637400 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA050742 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776479 | Kevin Bruce Gordon | Pharmacist | 1816 Sydenham Trail, Virginia Beach, VA 23464-8917 | 2019-08-21 |
| 1649787367 | Kevin B Gordon | Specialist/Technologist | 3618 Madaca Ln, Tampa, FL 33618-2057 | 2018-01-03 |
| 1902277528 | Kevin Gordon | Registered Nurse | 9500 Euclid Ave., Cleveland, OH 44106 | 2015-10-08 |
| 1053723643 | Kevin Gordon | Contractor | 12222 E 30th St, Tulsa, OK 74129-8423 | 2014-05-29 |
| 1174815625 | Kevin C Gordon | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2011-05-03 |
| 1811082431 | Kevin Gordon | Family Medicine | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-10-03 |
| 1437151370 | Kevin J Gordon | Internal Medicine | 1610 W University Blvd, Durant, OK 74701-3045 | 2005-08-11 |
| 1871597666 | Kevin R Gordon | Obstetrics & Gynecology | 505 Omega Dr, Arlington, TX 76014-2004 | 2005-06-09 |
| Street Address |
875 POPLAR CHURCH RD SUITE 320 |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738441 | Lenke Erki | Internal Medicine | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2005-05-23 |
| 1649770918 | Rachael Marie Rock | Physician Assistant | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2018-02-13 |
| 1669986428 | Satvir Kaur Gill | Physical Therapist | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2017-11-30 |
| 1720527203 | Brittany Luzik | Physical Therapist | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2017-02-17 |
| 1649713165 | Christine Nicole Hoover | Physical Therapist | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2016-12-01 |
| 1528511623 | Michelle Tewell | Audiologist | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2016-07-26 |
| 1528433794 | Jaclyn Scott | Nurse Practitioner | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2015-12-14 |
| 1851778666 | Holy Spirit Hospital | Clinic/Center | 875 Poplar Church Rd, Camp Hill, PA 17011-2203 | 2015-04-30 |
| 1295010916 | Julie Lauren Graver | Physician Assistant | 875 Poplar Church Rd, Suite 400, Camp Hill, PA 17011-2203 | 2011-10-13 |
| 1598048704 | Jamie Michele Roberts | Physician Assistant | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902316276 | Angela D Dietrich | Specialist | 423 N 21st St Ste 102, Camp Hill, PA 17011-2207 | 2017-10-02 |
| 1053532242 | Nicole Lee Custer | Specialist | 2113 Chestnut St, Camp Hill, PA 17011-5454 | 2007-05-02 |
| 1417936659 | Rodney Lynn Magargle | Specialist | 3335 Market St, Camp Hill, PA 17011-4424 | 2006-01-16 |
| 1346242526 | Geraldine Ann Patterson Easterday | Specialist | 18 Cherish Dr, Camp Hill, PA 17011-1025 | 2005-06-01 |
| 1437696218 | Cassi Bowman | Specialist | 423 N 21st St, Camp Hill, PA 17011-2207 | 2017-01-31 |
| 1427487446 | Megan Elizabeth Manner | Specialist | 3025 Market St, Camp Hill, PA 17011-4518 | 2013-11-12 |
| 1326285339 | Premier Vein Specialists LLC | Specialist | 425 N 21st St, Camp Hill, PA 17011-2223 | 2009-01-13 |
| 1033320551 | Ljubisa M. Stankovic, M.d., PC | Specialist | 797 Poplar Church Rd, Camp Hill, PA 17011-2314 | 2007-05-25 |
| 1821218926 | Cosmetic Surgery By Wolf, PC | Specialist | 1857 Center St, Camp Hill, PA 17011-1773 | 2007-04-30 |
| 1528184553 | Samir J Srouji | Specialist | 3438 Trindle Rd, Camp Hill, PA 17011-4450 | 2007-03-21 |
| Find all providers in CAMP HILL | ||||
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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.