Amy D Gordon (NPI# 1164798989, PAC ID# 0648436212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164798989 |
| PAC ID by PECOS | 0648436212 |
| Professional Enrollment ID | I20120725001052 |
| Full Name | Amy D Gordon |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Address |
3506 21st St Lubbock TX 79410-1212 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901889393 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 450539 | COVENANT HOSPITAL PLAINVIEW |
| Address | Phone | Organization |
|---|---|---|
| 3506 21st St, Lubbock, TX 79410-1212 | COVENANT MEDICAL GROUP | |
| 9812 Slide Rd, Lubbock, TX 79424-5781 | 8067258400 | COVENANT MEDICAL GROUP |
| 5009 College Ave, Snyder, TX 79549-6109 | 9155731300 | COVENANT MEDICAL GROUP |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Owen | Urology | Covenant Medical Group | 3612 23rd St, Lubbock, TX 79410-1326 |
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Kyler W Barkley | Cardiovascular Disease (cardiology) | Covenant Medical Group | 3514 21st St, Lubbock, TX 79410-1210 |
| Joshua G Hill | Family Medicine | Covenant Medical Group | 611 N Frankford Ave, Lubbock, TX 79416-1545 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Kia M Ousley | Family Medicine | Covenant Medical Group | 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447 |
| Jana C Ashburn | Nurse Practitioner | Covenant Medical Group | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 |
| Kate E Barnett | Physical Therapy | Covenant Medical Group | 4404 19th St, Suite C, Lubbock, TX 79407-2424 |
| Cristan D Ledbetter | Nurse Practitioner | Covenant Medical Group | 4102 22nd Pl, Lubbock, TX 79410-1122 |
| Street Address |
3506 21ST ST |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Fred G Sebastian Iv | Physician Assistant | Covenant Medical Group | 3506 21st St, Lubbock, TX 79410-1212 |
| James E Golden | Nurse Practitioner | Covenant Medical Group | 3506 21st St, Lubbock, TX 79410-1212 |
| Thomas L Howe | General Surgery | Texas Tech University Health Sciences Center Lubbock | 3506 21st St, Suite 601, Lubbock, TX 79430-1234 |
| Harry E Hall | Orthopedic Surgery | Covenant Medical Group | 3506 21st St, Lubbock, TX 79410-1212 |
| Ariel P Santos | General Surgery | Texas Tech University Health Sciences Center Lubbock | 3506 21st St, Suite 610, Lubbock, TX 79430-1234 |
| Stephen A Flores | Orthopedic Surgery | Covenant Medical Group | 3506 21st St, Suite 507, Lubbock, TX 79410-1233 |
| Tonya K Brown | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 3506 21st St, Suite 601, Lubbock, TX 79430-1234 |
| Joel D Starnes | Nephrology | Covenant Medical Group | 3506 21st St, Lubbock, TX 79410-1212 |
| Lea Marie Gunnell | Orthopedic Surgery | Covenant Medical Group | 3506 21st St, Lubbock, TX 79410-1212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUBBOCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy D Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.