LAURENCE R GORDON (NPI# 1942220900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942220900 |
| Entity Type | Individual |
| Full Name | LAURENCE R GORDON |
| Other Name | LARRY R GORDON |
| Credential | DO |
| Practice Address |
4005 Community Center Dr Weston WI 54476-4139 |
| Mailing Address |
3000 Westhill Dr Suite 303 Wausau WI 54401-3795 |
| Practice Telephone | 7152415400 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 46088 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43512000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174574198 | Laurence Gordon | Family Medicine | 15 Railroad Ave, South Hamilton, MA 01982-2218 | 2006-05-15 |
| 1386981405 | Laurence Gordon | Dentist | 19 Squadron Blvd, New City, NY 10956-5227 | 2013-01-09 |
| Street Address |
4005 COMMUNITY CENTER DR |
| City | WESTON |
| State | WI |
| Zip Code | 54476-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227976 | John K Paulson | Internal Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2006-05-30 |
| 1912379785 | Stephanie Werner | Nurse Practitioner | 4005 Community Center Dr, #202, Weston, WI 54476-4139 | 2015-10-20 |
| 1194104075 | Daniel Joseph Smith | Family Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2015-05-25 |
| 1013342575 | Erin Schoenfuss | Physician Assistant | 4005 Community Center Dr, Weston, WI 54476-4139 | 2013-09-03 |
| 1669815106 | Fabio Catao | Psychiatry & Neurology | 4005 Community Center Dr, Weston, WI 54476-4139 | 2013-04-15 |
| 1568714723 | Katie Anderson | Nurse Practitioner | 4005 Community Center Dr, Weston, WI 54476-4139 | 2012-10-11 |
| 1720371321 | Coy H Johnston IIi | Family Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2011-05-16 |
| 1700116084 | Aspirus Wausau Hospital Inc | Clinic/Center | 4005 Community Center Dr, Weston, WI 54476-4139 | 2010-01-08 |
| 1235340753 | Amy Ann Sweet | Internal Medicine | 4005 Community Center Dr, Weston, WI 54476-4139 | 2007-05-25 |
| 1265648000 | Aspirus Clinics, Inc | Clinic/Center | 4005 Community Center Dr, Suite 202, Weston, WI 54476-4139 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1205398575 | Fonort.llc | Internal Medicine | 2300 N Commerce Pkwy Ste 113, Weston, FL 33326-3255 | 2019-04-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1497287841 | Liorge Dominguez | Internal Medicine | 17160 Royal Palm Blvd Ste 2, Weston, FL 33326-2395 | 2017-04-03 |
| 1861847485 | Jose Alejandro Coba | Internal Medicine | 1065 Nandina Dr, Weston, FL 33327-2115 | 2016-05-02 |
| 1528472768 | Long Medical LLC | Internal Medicine | 1172 Falls Blvd, Weston, FL 33327-1722 | 2014-06-16 |
| 1407285042 | Bertram Grapin | Internal Medicine | 2552 Bay Pointe Dr, Weston, FL 33327-1421 | 2013-11-04 |
| 1346675030 | Warren Cohn | Internal Medicine | 5 Richmond Hill Rd, Weston, CT 06883-2031 | 2013-09-12 |
| 1407290554 | Lisa Susan Mattam | Internal Medicine | 521 Ranch Rd, Weston, FL 33326-1757 | 2013-04-19 |
| 1205114360 | Jose Elias Collado Peralta | Internal Medicine | 3623 San Simeon Cir, Weston, FL 33331-5044 | 2011-07-23 |
| 1780991257 | Kate F Tye | Internal Medicine | 56 Colpitts Road, Weston, MA 02493 | 2010-09-07 |
| Find all providers in WESTON | ||||
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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.