DR. LAURA SIDNEY GORDON (NPI# 1962502955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962502955 |
| Entity Type | Individual |
| Full Name | DR. LAURA SIDNEY GORDON |
| Credential | M.D. |
| Practice Address |
1100 Southgate Ste 6 Pendleton OR 97801-3974 |
| Practice Telephone | 5642766656 |
| Practice Fax Number | 5412761496 |
| Mailing Telephone | 5642766656 |
| Mailing Fax Number | 5412761496 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD17630 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150155 | 05 | |
| OR | PACIFICSOURCE PROVIDER # | W1033-01 | 01 |
| OR | BC/BS OF OR PROVIDER # | 2408483-01 | 01 |
| OR | OR RAILROAD MEDICARE # | 340020014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016232 | Laura Ann Gordon | Counselor | 526 Markel Rd, Conshohocken, PA 19428-1121 | 2020-02-24 |
| 1114398344 | Laura Gordon | Physical Therapy Assistant | 6651 Majestic Way, Carpentersville, IL 60110-3438 | 2015-10-14 |
| 1164434262 | Laura A Gordon | Counselor | 1681 Hickory Loop, Ste. A, Las Cruces, NM 88005-6587 | 2006-08-13 |
| 1093342255 | Laura M Gordon | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Ter, Gainesville, FL 32605-4218 | 2020-03-26 |
| 1558907071 | Laura Gordon | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2019-11-19 |
| 1073022646 | Laura J Gordon | Psychologist | 140 Haverhill St, Andover, MA 01810-1550 | 2017-09-26 |
| 1639547524 | Laura Hulen Gordon | Nurse Practitioner | 4690 Sweetwater Blvd, Suite 200, Sugar Land, TX 77479-3467 | 2015-09-09 |
| 1326424839 | Laura Gordon | Pharmacist | 2784 Carl T Jones Dr Se, Huntsville, AL 35802-4909 | 2015-08-06 |
| 1235571860 | Laura Schmadeke Gordon | Dentist | 14202 Y St, Omaha, NE 68137-2807 | 2013-07-24 |
| 1851633705 | Laura K Gordon | Anesthesiology | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-03-19 |
| Street Address |
1100 SOUTHGATE STE 6 |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031859 | Donald Robert Benschoter | Dentist | 1100 Southgate, Suite 17, Pendleton, OR 97801 | 2005-05-27 |
| 1124424213 | Amica Vogler | Physical Therapist | 1100 Southgate, Suite 15, Pendleton, OR 97801-3974 | 2014-11-17 |
| 1518391002 | Shannon Cristine Blood | Nurse Practitioner | 1100 Southgate, Suite 2, Pendleton, OR 97801-3974 | 2013-09-03 |
| 1285903047 | Medical Center Dental, LLC | Dentist | 1100 Southgate, Suite 17, Pendleton, OR 97801-3974 | 2011-12-23 |
| 1497068662 | Jason Lamar Walker | Dentist | 1100 Southgate, Suite 17, Pendleton, OR 97801-3974 | 2010-07-16 |
| 1154554053 | Julie A Hughes | Nurse Practitioner | 1100 Southgate, Suite 9, Pendleton, OR 97801-3974 | 2009-08-26 |
| 1720223316 | Katherine Marie Manning Stahl | Dental Hygienist | 1100 Southgate, Suite 17, Pendleton, OR 97801-3974 | 2008-12-10 |
| 1346321155 | Blue Mountain Diagnostic Imaging, Inc | Radiology | 1100 Southgate, Suite 7, Pendleton, OR 97801-3974 | 2006-10-18 |
| 1174604052 | Jacob W Cambier | Radiology | 1100 Southgate, Suite 7, Pendleton, OR 97801-3974 | 2006-10-18 |
| 1376624197 | Roger P Blair | Radiology | 1100 Southgate, Suite 7, Pendleton, OR 97801-3974 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093912693 | Aimee Elise Rogers | Urology | 3001 St Anthony Way, Pendleton, OR 97801 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
| 1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
| 1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
| Find all providers with the same taxonomy | ||||
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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.