ROBERT SPROAT GORDON


Address: 13 Coronad Circle, Angel Fire, NM 87710
Phone: 5753776825

ROBERT SPROAT GORDON (NPI# 1811147028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811147028
Entity Type Individual
Full Name ROBERT SPROAT GORDON
Credential M.D.
Practice Address 13 Coronad Circle
Angel Fire
NM 87710
Mailing Address Po Box 397
Angel Fire
NM 87710-0397
Practice Telephone 5753776825
Practice Fax Number 5753776825
Mailing Telephone 5753776825
Mailing Fax Number 5753776825
Enumeration Date 2008-09-24
Last Update Date 2008-09-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 79-41 NM Allopathic & Osteopathic Physicians

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1083939391 Robert Dana Gordon Transplant Surgery 520 Cameron Manor Way Nw, Atlanta, GA 30328-6202 2010-03-30
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1487815072 Robert Gordon Psychologist 13355 Noel Road, Suite 1910, Dallas, TX 75240 2008-06-17
1760652531 Robert Seth Gordon Psychiatry & Neurology 611 S Kansas Ave Ste 101, Topeka, KS 66603 2008-03-07
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1649470394 Robert Morris Gordon Psychiatry & Neurology 651 Bering Dr, #1801, Houston, TX 77057-2133 2007-07-20
1922211622 Robert C. Gordon Chiropractor 220 Castle Keep Rd, Salisbury, NC 28146-9020 2007-05-08

Office Location

Street Address 13 CORONAD CIRCLE
City ANGEL FIRE
State NM
Zip Code 87710

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598323990 Timothy Doolin Dentist 27479 Us-64, Angel Fire, NM 87710 2019-05-31
1790137735 Bestcare Pharmacy Angel Fire LLC Durable Medical Equipment & Medical Supplies Unit B4, The Inn, Highway 434, Angel Fire, NM 87710 2016-07-01
1447624879 Aicha Bech Froeschle Physical Therapist 56 Camino Grande, Angel Fire, NM 87710 2015-11-23
1104211655 Shenan Lark Personal Emergency Response Attendant 28 Aspen St. # 205, Angel Fire, NM 87710 2015-04-01
1215163639 South Central Colfax County Special Hospital District Clinic/Center 11 Elliott Barker Road, Angel Fire, NM 87710 2009-06-01
1467649806 Village of Angel Fire Secured Medical Transport (VAN) 11 N Angel Fire Road, Angel Fire, NM 87710 2007-10-01
1619177599 Margaret Vanantwerp Nurse Practitioner 11 Elliott Barker, Angel Fire, NM 87710 2007-07-19
1821206756 The Longevity Chiropractic Center Chiropractor 3762 Hwy 434, Angel Fire, NM 87710 2007-05-21
1053534818 Rhonda Joann Lee-hicks Occupational Therapist 13 Hideaway Lane County Road B4, Angel Fire, NM 87710 2007-04-10
1831223379 James Butts Jr Rph Pharmacy 3394 Highway 434, Angel Fire, NM 87710 2007-03-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508950304 Dennis A Cohen Family Medicine 11 Elliott Barker Lane, Moreno Valley Healthcare Clinic, Angel Fire, NM 87710-0133 2006-10-03

Providers in the same taxonomy and state

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1962001024 Laguna Healthcare Corp Family Medicine 6 Basswood Rd, Paraje, NM 87007 2020-10-20
1063027761 Compassion Care Clinic PC Family Medicine 600 Hwy 195, Ste A, Elephant Butte, NM 87935 2020-09-10
1063027696 Comprehensive Gastrostomy Tube Cares, LLC Family Medicine 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 2020-09-10
1700498748 Sandia View Family Medicine, PC Family Medicine 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 2020-08-20
1740898428 Dr. Maggie Wilson, PC Family Medicine 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 2020-07-17
1861028102 Lindsay Sue Cerrone Family Medicine 6 Kalma Ln, Edgewood, NM 87015-9593 2020-03-18
1053947408 Optimal Wellness Journey Family Medicine 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 2020-03-18
1831734813 Leandra Lee Medina Family Medicine 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 2019-11-13
1053952473 Healthnm, LLC Family Medicine 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 2019-10-07
1497301824 Gila Regional Medical Center Family Medicine 901 S. Gold Avenue, Deming, NM 88030 2019-08-12
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Competitor

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City ANGEL FIRE
Zip Code 87710

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Dataset Information

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.

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