SCOTT GORDON


Address: 200 S Ritchie Ave, Ravenswood, WV 26164-1721
Phone: 8442914535

SCOTT GORDON (NPI# 1821038159) 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) 1821038159
Entity Type Individual
Full Name SCOTT GORDON
Credential MD
Practice Address 200 S Ritchie Ave
Ravenswood
WV 26164-1721
Mailing Address 1300 W Belmont Ave
Ste 313
Chicago
IL 60657-3200
Practice Telephone 8442914535
Mailing Telephone 7735624973
Enumeration Date 2006-06-07
Last Update Date 2016-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
TM2015-0037 NM Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
54096 TN Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
26351 WV Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036093512 IL Allopathic & Osteopathic Physicians

Other Providers SCOTT GORDON

NPI Name Taxonomy Address Enumeration
1497024475 Scott Michael Gordon Dentist 1238 N Main Ave, Scranton, PA 18508-2130 2011-12-21
1316233992 Scott Robert Gordon Spec/Tech, Pathology 330 Merlot Dr # 41, Prosser, WA 99350-9551 2011-06-22
1164745824 Scott William Gordon Podiatrist 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 2010-03-10
1306003058 Scott S Gordon Physician Assistant 700 West Broadway, Fritch, TX 79036-1570 2008-05-20
1588765002 Scott Jason Gordon Counselor 174 Blue Grass Ct, Angier, NC 27501-6861 2006-09-26
1083612071 Scott Thomas Gordon Dentist 3905 Rr 620 N, Austin, TX 78734-2120 2005-07-13
1487003646 Scott Morris Gordon Hearing Instrument Specialist 6091 Linglestown Rd, Harrisburg, PA 17112-1208 2016-06-08
1649679259 Scott Gordon Counselor 4721 Reading Rd, Cincinnati, OH 45237-6107 2014-08-19
1487080685 Scott Gordon Case Manager/Care Coordinator 504 Lakeland Rd, Shawano, WI 54166-3836 2013-09-19
1730514423 Scott David Gordon Internal Medicine 715 N Saint Joseph Ave, Hastings, NE 68901 2013-09-12

Office Location

Street Address 200 S RITCHIE AVE
City RAVENSWOOD
State WV
Zip Code 26164-1721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750916938 Allison Dobbs Speech-Language Pathologist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2020-03-07
1215422332 Jacqueline Tyszkiewicz Occupational Therapist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2018-07-01
1689102253 Suzanna Ladonna Ewing Occupational Therapist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2017-05-26
1174838726 Kimberli R Constantino Speech-Language Pathologist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2010-08-06
1447485081 Chad Anthony Kucherawy Physical Therapist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2009-05-27
1124202304 200 South Ritchie Avenue Operations LLC Skilled Nursing Facility 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2007-12-24
1225228760 Sarah Black Occupational Therapist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2007-07-31
1396861886 Clara Lynn Brown Occupational Therapy Assistant 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2007-03-22
1235255100 Amanda Lee Payne Physical Therapy Assistant 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2007-03-22
1720104623 Angela Curfman Speech-Language Pathologist 200 S Ritchie Ave, Ravenswood, WV 26164-1721 2007-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851787246 First Settlement Physical Therapy Physical Therapist 240 Washington St, Ravenswood, WV 26164 2015-04-13
1467840975 Gretchen Lynn Hammond Nurse Practitioner 859 Century Road, Ravenswood, WV 26164 2015-01-06
1780809095 Emily Mccoy Physical Therapy Assistant 200 South Ritchie Ave, Ravenswood, WV 26164 2007-04-13
1427110717 M A Zurita Hernando Ibrahim Physical Therapist 240 Washington Street, Ravenswood, WV 26164 2006-12-14
1770687121 Helen Dee Rymer Dentist 707 Washington Street, Ravenswood, WV 26164 2006-09-07
1093723207 Michael Joseph Witt Family Medicine Alcan Rolled Products, Century Road, Ravenswood, WV 26164 2006-08-03
1356793095 Ashley M Matheny Psychologist 606 Washington St, Ravenswood, WV 26164 2016-07-06
1013039965 Physical Therapy Providers Pllc Clinic/Center 240 Washington Street, Ravenswood, WV 26164 2007-04-04
1356403703 Wirt County Health Services Association, Inc Family Medicine 606 Washington Street, Ravenswood, WV 26164 2006-12-14
1700320579 Activate Healthcare - Constellium Clinic/Center 859 Century Road, Ravenswood, WV 26164-0068 2016-12-13
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093362840 Devaraj Behavioral Healthcare Pllc Psychiatry & Neurology 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 2019-08-26
1447612742 Ruthie Cooper Psychiatry & Neurology 1115 20th St # 205, Huntington, WV 25703 2016-03-25
1104219070 John Wilson Hendleman Psychiatry & Neurology 333 Laidley St Fl 4w, Charleston, WV 25301-1614 2015-03-16
1124434550 Achuta Ram Aynampudi Psychiatry & Neurology 100 Stoney Hill Rd, Fairmont, WV 26554 2014-07-07
1871858340 Rajesh Kumar Mehta Psychiatry & Neurology 300 56th Street, S.e., Charleston, WV 25304-2308 2012-07-10
1043572860 Dhashaini Nadarajah Psychiatry & Neurology 500 Poplar St Ste 204, South Charleston, WV 25309 2012-06-08
1629344858 Kevin Douglas Junkins Psychiatry & Neurology 65 Professional Pl Ste 102, Bridgeport, WV 26330 2012-04-02
1700166659 Carruth Center-ssc Psychiatry & Neurology 700 College Avenue, 3rd Floor, Morgantown, WV 26506-6422 2011-08-24
1427337534 Nihit Gupta Psychiatry & Neurology 2000 Eoff St Ste 501, Wheeling, WV 26003-3823 2011-08-07
1093033789 Ryan John Wakim Psychiatry & Neurology 1100 Main St Ste 104, Wheeling, WV 26003-2737 2010-05-05
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Competitor

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City RAVENSWOOD
Zip Code 26164

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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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