DR. JOSHUA PETER GORDON (NPI# 1841829694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841829694 |
Entity Type | Individual |
Full Name | DR. JOSHUA PETER GORDON |
Credential | M.D. |
Practice Address |
931 S Market Blvd Chehalis WA 98532 |
Practice Telephone | 3607676300 |
Practice Fax Number | 3607673620 |
Mailing Telephone | 3607676300 |
Mailing Fax Number | 3607673620 |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619387479 | Joshua D Gordon | Massage Therapist | 1421 Majesty Ter, Weston, FL 33327-2309 | 2014-05-02 |
1467636571 | Joshua Gordon | Psychiatry & Neurology | Dept of Neurology 127, Hines Va Hospital, Hines, IL 60141 | 2007-12-26 |
1356970727 | Joshua John Gordon | Nurse Anesthetist, Certified Registered | 405 Londonderry Dr Ste 105, Waco, TX 76712-7920 | 2020-04-07 |
1275161721 | Joshua Henry Gordon | Student in an Organized Health Care Education/Training Program | 3535 Market St Fl 2, Philadelphia, PA 19104-3317 | 2020-03-31 |
1205322302 | Joshua Gordon | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2018-07-02 |
1972037877 | Joshua Paul Gordon | Student in an Organized Health Care Education/Training Program | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2017-04-18 |
1801328174 | Joshua Gordon | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Third Floor, Columbus, OH 43210-1267 | 2017-03-28 |
1710374905 | Joshua Gordon | Emergency Medicine | 1329 Sw 16th St, Gainesville, FL 32610 | 2015-04-25 |
1053604108 | Joshua Asher Gordon | Orthopaedic Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-05-24 |
1558588988 | Joshua A Gordon | Psychiatry & Neurology | 171 W 79th St, New York, NY 10024-6449 | 2007-04-19 |
Street Address |
931 S MARKET BLVD |
City | CHEHALIS |
State | WA |
Zip Code | 98532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801802707 | Debra K Newby | Physician Assistant | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2006-07-31 |
1639798077 | Angela Marie Shimoda | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2020-04-15 |
1861021636 | Jideofor Kenechi Ndulue | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2020-04-03 |
1477101400 | Kenneth Fill | Pharmacist | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-09-03 |
1407319874 | Brianna Nicole Sexton | Family Medicine | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-04-11 |
1538622907 | Kate Alexander Herron Slaymaker | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-04-11 |
1902311657 | Laboratory Corporation of America | Clinical Medical Laboratory | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2017-12-04 |
1588199889 | Jordan Snell | Family Medicine | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2017-04-24 |
1821534801 | Amber L Gauthier | Nurse Practitioner | 931 S Market Blvd, Chehalis, WA 98532 | 2017-01-13 |
1538517693 | Ravneet Jaura | Family Medicine | 931 S Market Blvd, Chehalis Rural Training Program, Chehalis, WA 98532-3423 | 2016-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821617986 | Reile Megan Slattery | Student in an Organized Health Care Education/Training Program | 159 Peregrine Creek Rd, Chehalis, WA 98532-9652 | 2020-04-09 |
1639798077 | Angela Marie Shimoda | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2020-04-15 |
1861021636 | Jideofor Kenechi Ndulue | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2020-04-03 |
1679036032 | Jason Howard Mckinley | Student in an Organized Health Care Education/Training Program | 931 S. Market Blvd, Chehalis, WA 98532 | 2019-04-11 |
1538622907 | Kate Alexander Herron Slaymaker | Student in an Organized Health Care Education/Training Program | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
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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.