Mandy D Gordon (NPI# 1497195598, PAC ID# 2668608613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497195598 |
| PAC ID by PECOS | 2668608613 |
| Professional Enrollment ID | I20131121000279 |
| Full Name | Mandy D Gordon |
| Organization Legal Name | CANCER CARE ASSOCIATES INC |
| Address |
225 E Jackson Jonesboro AR 72401-3119 |
| Phone Number | 8709724510 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769637222 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 225 E Jackson, Jonesboro, AR 72401-3119 | 8709724510 | CANCER CARE ASSOCIATES INC |
| Organization Legal Name | CANCER CARE ASSOCIATES INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humdum P Durrani | Hematology | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Hannah R. Howard | Nurse Practitioner | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Callie A Poole | Physician Assistant | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Marc Monte | Hematology/oncology | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Kyle F Medlin | Nurse Practitioner | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Melissa A Childers | Certified Clinical Nurse Specialist (cns) | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Isam A Abdel-karim | Hematology/oncology | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| John K Lynch | Radiation Oncology | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Mazen Khalil | Internal Medicine | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Christian C Okoye | Radiation Oncology | Cancer Care Associates Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Street Address |
225 E JACKSON |
| City | JONESBORO |
| State | AR |
| Zip | 72401-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren S Martin | Certified Registered Nurse Anesthetist (crna) | Jonesboro Anesthesia Inc | 225 E Jackson, St Bernards Med Ctr, Jonesboro, AR 72401-3119 |
| Veryl Hodges | Internal Medicine | St. Bernards Hospital Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Mark M Smith | Emergency Medicine | St. Bernards Hospital Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Natalie A Harris | Certified Registered Nurse Anesthetist (crna) | Jonesboro Anesthesia Inc | 225 E Jackson, St Bernards Med Ctr, Jonesboro, AR 72401-3119 |
| Paul S Blumreich | Certified Registered Nurse Anesthetist (crna) | Jonesboro Anesthesia Inc | 225 E Jackson, St Bernards Med Ctr, Jonesboro, AR 72401-3119 |
| Sarah B Holcomb | Family Medicine | St. Bernards Hospital Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Justin M Baggs | Family Medicine | St. Bernards Hospital Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Rachel G Milner | Certified Registered Nurse Anesthetist (crna) | Jonesboro Anesthesia Inc | 225 E Jackson, St Bernards Med Ctr, Jonesboro, AR 72401-3119 |
| April L Bollinger | Certified Registered Nurse Anesthetist (crna) | Jonesboro Anesthesia Inc | 225 E Jackson, St Bernards Med Ctr, Jonesboro, AR 72401-3119 |
| John S Johnson | Internal Medicine | St. Bernards Hospital Inc | 225 E Jackson, Jonesboro, AR 72401-3119 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JONESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mandy 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.