Joshua Simon Gordon (NPI# 1306877683, PAC ID# 8022205962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1306877683 |
| PAC ID by PECOS | 8022205962 |
| Professional Enrollment ID | I20101206000016 |
| Full Name | Joshua Simon Gordon |
| Organization Legal Name | BARENBURG OPTICAL SERVICE, INC |
| Address |
9051 Baltimore National Pike Ellicott City MD 21042-3927 |
| Phone Number | 4104654080 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4880582980 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Park Ave, Baltimore, MD 21201-3416 | 4107270285 | BARENBURG OPTICAL SERVICE, INC |
| 1003 N Point Blvd, 605 Barenburg Eye Associates, Baltimore, MD 21224-3662 | 4102825544 | BARENBURG OPTICAL SERVICE, INC |
| 9051 Baltimore National Pike, Ellicott City, MD 21042-3927 | 4104654080 | BARENBURG OPTICAL SERVICE, INC |
| Organization Legal Name | BARENBURG OPTICAL SERVICE, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shoshana Beth Cohen | Optometry | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Jonathan D Ekedahl | Ophthalmology | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Hollie S Brannan | Optometry | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Jeanette M Lam | Optometry | Barenburg Optical Service, Inc | 9051 Baltimore National Pike, Ellicott City, MD 21042-3927 |
| Rita Vekker | Optometry | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Ross M Fischer | Optometry | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Robert Loeb | Ophthalmology | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Mark B Gordon | Optometry | Barenburg Optical Service, Inc | 100 Park Ave, Baltimore, MD 21201-3416 |
| Eugene C Salvo Jr. | Ophthalmology | Barenburg Optical Service, Inc | 9051 Baltimore National Pike, Ellicott City, MD 21042-3927 |
| Street Address |
9051 BALTIMORE NATIONAL PIKE |
| City | ELLICOTT CITY |
| State | MD |
| Zip | 21042-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Jane Hoffmeyer | Psychologist, Clinical | 9051 Baltimore National Pike, Suite 3a Ellicott City Office, Ellicott City, MD 21042-3937 | |
| Jeanette M Lam | Optometry | Barenburg Optical Service, Inc | 9051 Baltimore National Pike, Ellicott City, MD 21042-3927 |
| Eugene C Salvo Jr. | Ophthalmology | Barenburg Optical Service, Inc | 9051 Baltimore National Pike, Ellicott City, MD 21042-3927 |
| David G Chandran | Psychiatry | 9051 Baltimore National Pike, Suite 2b, Ellicott City, MD 21042-3942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rong Zhang | Internal Medicine | 11627 Whitetail Lane, Suite 660, Ellicott City, MD 21042 | |
| Robert Joseph Shroyer | Diagnostic Radiology | Washington Imaging Associates of Dc LLC | 12731 Maryvale Ct, Ellicott City, MD 21042-1269 |
| Elizabeth Hartman | Diagnostic Radiology | Washington Imaging Associates of Dc LLC | 12731 Maryvale Ct, Ellicott City, MD 21042-1269 |
| Cynthia D Nichols | Qualified Speech Language Pathologist | 12337 Pans Spring Ct, Ellicott City, MD 21042-1338 | |
| Michelle K Melotti | Diagnostic Radiology | Advanced Radiology Pa | 11526 Stardust Ln, Ellicott City, MD 21042-1429 |
| Mark Davis | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 11526 Stardust Ln, Ellicott City, MD 21042-1429 |
| Melaine M Letzer | Nurse Practitioner | 11150 Resort Rd, Ellicott City, MD 21042-2050 | |
| Nathaniel J Mckay | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Shari Strier | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Noushin S Ahmed | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Find all physicians in zip 21042 | |||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
| Specialty | OPTOMETRY |
| City + Specialty | ELLICOTT CITY + OPTOMETRY |
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| 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.