MORGAN RAEANN GORDON (NPI# 1952841355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952841355 |
| Entity Type | Individual |
| Full Name | MORGAN RAEANN GORDON |
| Credential | D.O. |
| Practice Address |
207 5th St Racine OH 45771-5012 |
| Practice Telephone | 7409492683 |
| Practice Fax Number | 7409492462 |
| Mailing Telephone | 7409492683 |
| Mailing Fax Number | 7409492462 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34.014201 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Hospital Dr, Athens, OH 457012302 | 7405929204 | 7405929286 |
| Street Address |
207 5TH ST |
| City | RACINE |
| State | OH |
| Zip Code | 45771-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301175 | Emma Lee Roberts | Speech-Language Pathologist | 31398 Bashan Rd, Racine, OH 45771 | 2017-04-21 |
| 1639303647 | Mary E Smith | Licensed Practical Nurse | 30975 Salser Rd, Racine, OH 45771 | 2009-05-05 |
| 1508873431 | Margie J Lawson | Dentist | 106 Tyree Blvd, Racine, OH 45771 | 2006-08-02 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1689845505 | Douglas D. Hunter, M.d.llc | Specialist | 207 Fifth Street, Racine, OH 45771 | 2008-03-19 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1265766695 | Eddena Jo Smith | Registered Nurse | 818 Johns Rd, Racine, OH 45771-8000 | 2009-10-02 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1366762825 | Wirt County Health Services Association, Inc | Clinic/Center | 906 Elm St, Racine, OH 45771-8902 | 2010-06-08 |
| 1851536205 | Southern Local School District | Local Education Agency (LEA) | 920 Elm St, Racine, OH 45771-8902 | 2008-12-12 |
| Find all providers in zip 45771 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1104144781 | Manmeet K Bains | Family Medicine | 3807 Spring Street, Racine, WI 53405-1667 | 2010-05-06 |
| 1073714127 | Melchor F Vidal Md Pllc | Family Medicine | Corner Rt 3 and 94, Racine, WV 25165 | 2007-05-29 |
| 1346467883 | Maurice Krashin | Family Medicine | 75 S Vincennes Cir, Racine, WI 53402-3660 | 2007-04-19 |
| 1407926280 | Chung-yen Philip Hsu | Family Medicine | 4215 Erie St, Suite 626, Racine, WI 53402-2899 | 2006-11-08 |
| 1033288816 | Northwestern Medical Center Sc | Family Medicine | 1532 S Green Bay Rd, Suite 200, Racine, WI 53406-4410 | 2006-11-07 |
| 1053341065 | Jennifer J. Brittig | Family Medicine | 2408 4 Mile Rd, Racine, WI 53402-2091 | 2006-07-04 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1992757744 | Gary L Shepherdson | Family Medicine | Mcw & All Saints Health Care System, 1320 Wisconsin Ave., Racine, WI 53403 | 2006-05-17 |
| 1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
| Find all providers in RACINE | ||||
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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.