Shirley Gordon is a Pediatrics in Mentor, Ohio. Shirley Gordon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shirley Gordon is 1073531349. The last update date is 2007-07-09.
Shirley Gordon's current location address is 9975 Dwayne Ct, Mentor, Ohio. You can contact this provider via phone number 4403541553 and fax number 4403541553. The mailing address for Shirley Gordon is 9975 Dwayne Ct, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shirley Gordon |
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Address | 9975 Dwayne Ct, Mentor, Ohio |
Phone Number | 4403541553 |
Fax Number | 4403541553 |
Sole Proprietor | Y |
Credentials | RN |
NPI Number Detail
NPI Number | 1073531349 |
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Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 9975 Dwayne Ct |
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City | Mentor |
State | Ohio (OH) |
Post Code | 440607252 |
Phone Number | 4403541553 |
Fax Number | 4403541553 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 163Wp0200X |
Licence No | RN194973 |
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2171582 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shirley Gordon?
The Shirley Gordon has been issued the NPI (National Provider Identifier) 1073531349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shirley Gordon?
The Shirley Gordon is physically situated at 9975 Dwayne Ct, in the city of Mentor, state of OH, with the postal code 440607252.
What is Shirley Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shirley Gordon is Pediatrics, and the taxonomy code that classifies this field of practice is 163Wp0200X.
When did Shirley Gordon receive its 1073531349 assignment?
The Shirley Gordon was assigned its 1073531349 on 2006-07-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shirley Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shirley Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.