SUSAN LEE GORDON (NPI# 1770696148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770696148 |
| Entity Type | Individual |
| Full Name | SUSAN LEE GORDON |
| Credential | D.D.S. |
| Practice Address |
10000 Bay Pines Blvd. Saint Petersburg FL 33744 |
| Mailing Address |
1059 Sable Ct Ne Saint Petersburg FL 33702-2783 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7275283211 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
28188 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN10330 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761312 | Susan Lynn Gordon | Counselor | 1525 Martin Luther King Jr Way, Seattle, WA 98122-3129 | 2016-06-17 |
| 1730522913 | Susan M Gordon | Social Worker | 299 Little Bay Rd, Newington, NH 03801-2742 | 2013-04-08 |
| 1093901225 | Susan Leigh Gordon | Physical Therapist | 530 Highland Ave, Feasterville Trevose, PA 19053-6026 | 2007-09-21 |
| 1295952463 | Susan Ellen Gordon | Psychologist | 1 Darnall Hall, Washington, DC 20057-0001 | 2007-04-19 |
| 1447345657 | Susan Merle Gordon | Psychologist | 234 Bryn Mawr Avenue, Suite 202, Bryn Mawr, PA 19010 | 2006-10-04 |
| 1285678359 | Susan Riddle Gordon | Social Worker | 2402 Tift Ave N, Suite 102, Tifton, GA 31794-1883 | 2006-06-16 |
| 1376030122 | Susan Elizabeth Gordon | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-04-17 |
| 1639531726 | Susan Gordon | Social Worker | 2233 Nostrand Ave, 2nd Fl., Brooklyn, NY 11210-3045 | 2016-03-28 |
| 1598199069 | Susan R Gordon | Physical Therapist | 600 N Robbins Rd Ste 101, Boise, ID 83702-4567 | 2013-09-02 |
| 1770804965 | Susan G. Gordon | Social Worker | 3020 Childrens Way # Mc5016, San Diego, CA 92123-4223 | 2010-06-22 |
| Street Address |
10000 BAY PINES BLVD. |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750393740 | Motria Deluca | Social Worker | 10000 Bay Pines Blvd., Saint Petersburg, FL 33774 | 2006-08-12 |
| 1245246024 | Joy Doolittle | Social Worker | 10000 Bay Pines Blvd., Saint Petersburg, FL 33744 | 2006-07-31 |
| 1649298241 | Sandra S. Dunn | Social Worker | 10000 Bay Pines Blvd., Saint Petersburg, FL 33744 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1053803494 | Dillon Matthew Bale | Dentist | 7801 Dr Martin Luther King St N, Saint Petersburg, FL 33702-1108 | 2018-06-01 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1184903775 | Cindy N. Brayer, Dmd, Pa | Dentist | 3388 49th St N, Saint Petersburg, FL 33710-2146 | 2011-08-12 |
| 1235396086 | Jody Michele Maiden | Dentist | 2201 4th St N, Suite C, Saint Petersburg, FL 33704-4300 | 2008-05-20 |
| 1881898005 | Roy George Clark | Dentist | 5720 5th Ave N, Saint Petersburg, FL 33710-7104 | 2007-06-12 |
| 1184833766 | Robert P Keenan | Dentist | 4100 5th Ave N, Saint Petersburg, FL 33713-6304 | 2007-05-21 |
| 1831301506 | Anthony John Denavarra | Dentist | 224 Pasadena Ave S, Saint Petersburg, FL 33707-1251 | 2007-05-04 |
| 1538280839 | Bryan Dayle Oeth | Dentist | 239 2nd Ave S Ste 100, Saint Petersburg, FL 33701-4312 | 2007-04-03 |
| 1508983909 | Mendee V Bull -ligon | Dentist | 5201 Central Ave, Saint Petersburg, FL 33710-8141 | 2007-03-23 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33744 |
Please comment or provide details below to improve the information on SUSAN LEE GORDON.
| 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.