ALAN MARC GORDEN (NPI# 1992865935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992865935 |
| Entity Type | Individual |
| Full Name | ALAN MARC GORDEN |
| Practice Address |
2501 Keenan Dr International Falls MN 56649-2181 |
| Practice Telephone | 2182839431 |
| Mailing Telephone | 2182839431 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19704 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2501 KEENAN DR |
| City | INTERNATIONAL FALLS |
| State | MN |
| Zip Code | 56649-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
| 1881144970 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2016-10-12 |
| 1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
| 1477967685 | Elizabeth Lessard | Nurse Practitioner | 2501 Keenan Dr, Essentia Health International Falls, International Falls, MN 56649-2181 | 2014-06-16 |
| 1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
| 1063705689 | Darci Leigh Pelland | Nurse Practitioner | 2501 Keenan Dr, Rainy Lake Medical Center Clinic, International Falls, MN 56649-2181 | 2011-05-17 |
| 1881821619 | Tim Allen Smith | Psychiatry & Neurology | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2009-06-19 |
| 1932365640 | Tara B Tomczak | Pharmacist | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2008-08-01 |
| 1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
| 1558438671 | Jon Blair Marchuk | Surgery | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
| 1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
| 1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
| 1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
| 1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
| 1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
| 1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
| 1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
| 1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
| Find all providers in zip 56649 | ||||
| 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 |
|---|---|---|---|---|
| 1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
| 1538457486 | Burntside Consultants LLC | Family Medicine | 1608 9th Ave E, International Falls, MN 56649-3002 | 2011-07-13 |
| 1679057475 | Shailynn Nicole Shipley | Family Medicine | 2501 Keenan Drive, International Falls, MN 56649 | 2018-09-18 |
| 1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
| 1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
| 1417021502 | Anthony Christian Stone | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-11-20 |
| 1902819626 | Jay B Knaak | Family Medicine | 1400 Highway 71, International Falls, MN 56649 | 2006-08-14 |
| 1215961560 | Jeri Leah Vergeldt | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-07-11 |
| 1760418057 | Samantha Ann Crossley | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-25 |
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|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | INTERNATIONAL FALLS |
| Zip Code | 56649 |
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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.