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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 79-41 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105429 | Robert Henry Gordon Sr. | Homemaker | 1119 Sand Creek Loop, Ocoee, FL 34761-1434 | 2020-08-17 |
| 1952643652 | Robert B Gordon | Durable Medical Equipment & Medical Supplies | 4552 Mcknight Rd, Pittsburgh, PA 15237 | 2013-03-20 |
| 1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
| 1083939391 | Robert Dana Gordon | Transplant Surgery | 520 Cameron Manor Way Nw, Atlanta, GA 30328-6202 | 2010-03-30 |
| 1144452798 | Robert K Gordon | Family Medicine | 400 W Camelback Rd, Suite 209, Phoenix, AZ 85013-2330 | 2009-08-17 |
| 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 |
| 1891972675 | Robert James Gordon | Marriage & Family Therapist | 1023 Executive Parkway Dr Ste 10, Creve Coeur, MO 63141-6323 | 2008-01-23 |
| 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 |
| Street Address |
13 CORONAD CIRCLE |
| City | ANGEL FIRE |
| State | NM |
| Zip Code | 87710 |
| 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 |
| Find all providers in zip 87710 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ANGEL FIRE |
| Zip Code | 87710 |
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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.