MARY ELLEN GORDON (NPI# 1942405873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942405873 |
| Entity Type | Individual |
| Full Name | MARY ELLEN GORDON |
| Practice Address |
514 N Brightleaf Blvd Ste 1202 Smithfield NC 27577-4486 |
| Practice Telephone | 9199344997 |
| Practice Fax Number | 9199349280 |
| Mailing Telephone | 9199344997 |
| Mailing Fax Number | 9199349280 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548395031 | Mary Elizabeth Gordon | Psychologist | 285 South Perry St, Lawrenceville, GA 30045 | 2007-02-23 |
| 1316012784 | Mary Elaine Gordon | Marriage & Family Therapist | 3 Williamsburg Ln, Chico, CA 95926 | 2006-11-21 |
| 1972521367 | Mary N Gordon | Internal Medicine | 151 W High St Lowr Level, Morris, IL 60450-1407 | 2006-07-17 |
| 1386206555 | Mary Inez Gordon | Behavior Technician | 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 | 2019-07-08 |
| 1164831608 | Mary Gordon | Clinical Nurse Specialist | 6621 Fannin St, Houston, TX 77030-2358 | 2014-08-08 |
| 1457699886 | Mary Ann Gordon | Counselor | 815 Flack Ave, Alliance, NE 69301-2722 | 2013-01-18 |
| 1235401613 | Mary Loray Gordon | Registered Nurse | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-02-01 |
| 1235446261 | Mary Kathleen Gordon | Occupational Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2010-09-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| 1134224520 | Mary E Gordon | Pediatrics | Children's Hospital, 300 Longwood Ave, Brookline, MA 02115 | 2006-09-13 |
| Street Address |
514 N BRIGHTLEAF BLVD STE 1202 |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771828 | Raymond Derwin Jones | Orthotic Fitter | 3243 Us Highway 70 E Ste 202, Smithfield, NC 27577-8794 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.