Roxann M. Gordon, RN, CNM
Individual provider Active NPI Advanced Practice Midwife · Dayton, MD
NPI 1306099403 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1306099403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- R147748 (MD)
- Practice address
- 13615 Voland CT
Dayton, MD 21036 - Phone
- (443) 621-5569
- Fax
- (240) 708-4932
- NPI assigned
- Nov 3, 2008
- 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)
- Yes
- Credentials
- Certified Nurse Midwife, Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R147748 | MD | Yes |
Addresses
Primary practice location
13615 Voland CT
Dayton, MD 21036
Mailing address
13615 Voland CT
Dayton, MD 21036
Phone (443) 621-5569
Other providers in Dayton, MD
- Rohul Amin
- Ashley Nicole Baliff
- BN Health Services LLC
- Carissa Easter
- Kristan Leigh Fish
- Rebekah Suzanne Hesse
- Patricia Ann Iammatteo
- Patricia Keeney Keating
- Elizabeth Knowlden
- Gail Rene Mielke
All providers in Dayton, MD · Advanced Practice Midwife in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. 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.