Debra Fisher Gordy, RDMS, RVT, ARRT

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

35528 Issued in MD

Practice address

18667 Little LN
Delmar, DE 19940-4000

Phone

(443) 359-1382

NPI assigned

Mar 15, 2014

Last updated

Mar 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1073939971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199400208",
            "telephone_number": "443-359-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18667 LITTLE LN",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199404000",
            "telephone_number": "443-359-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDY",
        "first_name": "DEBRA",
        "middle_name": "FISHER",
        "credential": "RDMS, RVT, ARRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": "188183",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MD",
            "license": "35528",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "35528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obdiel Dormelus
• Kelly Dryden, RN
• Laurie Duncan
• Envoy of Delmar, LLC
• Ethan Forrey, ATC
• Khalil F Gorgui, M.D.
• Geraldine Green
• Courtney Gum, LCSW-C
• Happy Harrys Inc (Walgreens #11079)
• Stuart Kyle Hensley, FNP-C

• Radiologic Technologist in Delmar, DE
• Providers in Delmar, DE by specialty
• Radiologic Technologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.