Cheryl Gordon, R.D.
Individual provider Active NPI Registered Dietitian · Plain City, OH
NPI 1285043661 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1285043661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2062 (OH)
- Practice address
- 9340 Warner Rd
Plain City, OH 43064-9475 - Phone
- (740) 816-4444
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2062 | OH | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2062 | OH | Yes |
Addresses
Primary practice location
9340 Warner Rd
Plain City, OH 43064-9475
Mailing address
9340 Warner Rd
Plain City, OH 43064-9475
Phone (740) 816-4444
Other providers in Plain City, OH
- Emily Elswick
- Patricia Fadairo
- Elizabeth Files
- Julie Marie Fogt
- Joseph Anthony Galore
- Madeline Noelle Graham
- Alisha Anderson Gray
- Rachael Elizabeth Gruenbaum
- Kelly Renee Guinn
- Paige Renee Hamner
All providers in Plain City, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.