Helen Gordon

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HELEN GORDON

Practice address

3578 Heathrow Dr
Winston Salem, NC 27127-4674

Phone

(336) 788-3052

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Helen D Gordon, MEDICARE PROVIDER DM

Title

Owner MGR

Phone

(336) 788-3052

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cameo Bra Shop Doing business as

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1477536449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 HEATHROW DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274674",
            "telephone_number": "336-788-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3578 HEATHROW DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274674",
            "telephone_number": "336-788-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER MGR",
        "authorized_official_telephone_number": "336-788-3052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDICARE PROVIDER DM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0474C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "2404",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701509",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameo Bra Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcela Isabel Heinrich, MD
• Christian Patrick Heinzelman
• Melissa E Heisler, OD
• Aliza Lauren Hekman, PA-C
• Jennifer Balkcum Helderman, M.D.
• Audrey Marie Barker Hellams, PA-C
• Deneice Diane Heller, FNP
• Nicole Marie Heller, LCMHC
• Rebecca H Hellwig, LMSW
• Abigail Kaylee Helm

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.