DR. TRACY A GORDON (NPI# 1942204763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942204763 |
| Entity Type | Individual |
| Full Name | DR. TRACY A GORDON |
| Credential | M.D. |
| Practice Address |
1205 S Telshor Blvd Las Cruces NM 88011-4748 |
| Mailing Address |
1720 Louisiana Blvd Ne Ste 401 Albuquerque NM 87110-7020 |
| Practice Telephone | 5052604300 |
| Practice Fax Number | 5052604338 |
| Mailing Telephone | 5052604300 |
| Mailing Fax Number | 5052604338 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 97-63 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Q0054 | 05 | |
| NM | BLUE CROSS BLUE SHIELD | NM009V08 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689064529 | Tracy Lee Gordon | Home Health Aide | 333 E. College St, Alliance, OH 44601 | 2015-01-30 |
| 1740688241 | Tracy L Gordon | Contractor | 3316 Woodside Dr, Fairfield, OH 45014-5023 | 2014-12-15 |
| 1225305519 | Tracy Marie Gordon | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2011-11-30 |
| 1649430695 | Tracy Gordon | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2008-06-12 |
| 1720102155 | Tracy Gordon | Social Worker | 25050 Avenue Kearny, Suite 201, Valencia, CA 91355-1255 | 2007-03-19 |
| Street Address |
1205 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669844858 | Las Cruces Surgery Center - Telshor LLC | Clinic/Center | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2015-10-27 |
| 1871814921 | Surgical Partners of Las Cruces | Clinic/Center | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2010-06-11 |
| 1962671263 | Surgical Partners of Las Cruces, LLC | Clinic/Center | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2008-02-21 |
| 1487658126 | Jeffrey N Rubin | Anesthesiology | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962626804 | Whittler Anesthesia PC | Anesthesiology | 1205 South Telshor Boulevard, Las Cruces, NM 88011 | 2007-04-12 |
| 1265475933 | Mesilla Valley Anesthesiology PC | Anesthesiology | 205 W. Boutz Rd., Bldg #1, Las Cruces, NM 88005 | 2006-06-13 |
| 1750359865 | Jorge Urias | Anesthesiology | 205 W. Boutz Rd Bldg #1, Las Cruces, NM 88005 | 2006-03-14 |
| 1588633655 | Cesar Velarde | Anesthesiology | 1240 S Telshor Blvd Ste A, Las Cruces, NM 88011-4731 | 2006-03-14 |
| 1063488757 | James M. Eidel | Anesthesiology | 205 W. Boutz Rd. Bldg #1, Las Cruces, NM 88005 | 2006-02-23 |
| 1336114370 | Nosrat Khajavi | Anesthesiology | 205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3259 | 2006-02-22 |
| 1619970050 | Steven G. Whittler | Anesthesiology | 1205 Telshor Blvd, Las Cruces, NM 88011 | 2005-05-31 |
| 1659983898 | Andrew Paul Fulkerson | Anesthesiology | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2020-08-19 |
| 1073134748 | Three Crosses Regional Hospital | Anesthesiology | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2020-05-04 |
| 1851794127 | Marketto Anesthesia LLC | Anesthesiology | 205 W Boutz Rd, Bldg #1, Las Cruces, NM 88005-3262 | 2014-10-01 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.