Joellen Gordon in Tampa - Physician Assistant
Joellen Gordon - NPI 1245356393
Joellen Gordon is a Physician Assistant in Tampa, Florida. Joellen Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joellen Gordon is 1245356393. The last update date is 2016-04-06.
Joellen Gordon's current location address is 6821 W Hillsborough Ave, Tampa, Florida. You can contact this provider via phone number 8138900705 and fax number 8138900710. The mailing address for Joellen Gordon is 6821 W Hillsborough Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joellen Gordon |
|---|---|
| Address | 6821 W Hillsborough Ave, Tampa, Florida |
| Phone Number | 8138900705 |
| Fax Number | 8138900710 |
| Sole Proprietor | Y |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1245356393 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2016-04-06 |
Provider Mailing Address Detail
| Address | 6821 W Hillsborough Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336345003 |
| Phone Number | 8138900705 |
| Fax Number | 8138900710 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 2812 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA 2812 | FL | PHYSICIAN ASSISTANT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joellen Gordon by the Centers for Medicare & Medicaid Services?
The Joellen Gordon has been issued the NPI (National Provider Identifier) 1245356393 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Joellen Gordon?
The Joellen Gordon is physically situated at 6821 W Hillsborough Ave, in the city of Tampa, state of FL, with the postal code 336345003.
What is Joellen Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joellen Gordon is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1245356393 assigned to Joellen Gordon?
The Joellen Gordon was issued its 1245356393 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Joellen Gordon's information last updated?
The Joellen Gordon's information was last updated on 2016-04-06.
NPI Number: 1215930425
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