1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Specialist Technologist Other
  6. NPI Profile

MRS. KIMBERLY ROCHELLE GORDON SURGICAL ASSISTANT
NPI 1245407709
Specialist/Technologist, Other - Surgical Assistant in Bloomington, IL

Active since May 14, 2008
3002 GILL ST STE 3, BLOOMINGTON, IL 61704(309) 846-4716 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Rochelle Gordon Surgical Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ROCHELLE GORDON SURGICAL ASSISTANT (NPI 1245407709) is an individual surgical assistant in Bloomington, Illinois and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1245407709
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMRS. KIMBERLY ROCHELLE GORDONCredential: SURGICAL ASSISTANT
Location Address3002 GILL ST STE 3Bloomington, IL 61704-3438
Mailing Address1213 Riviera DrBloomington, IL 61701-7309 · (309) 242-6439
Phone(309) 846-4716
Sole ProprietorYes
Enumeration DateMay 14, 2008
✔ NPI 1245407709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
3002 GILL ST STE 3, Bloomington, IL 61704
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KRISTA L RUESTMAN
Specialist/Technologist, Other (Surgical Assistant)
3002 GILL ST STE 3
BLOOMINGTON, IL 61704
McLean County (309) 846-4716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Gordon's NPI number?

The NPI number for Kimberly Gordon is 1245407709. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Kimberly Gordon located?

Kimberly Gordon practices at 3002 Gill St Ste 3, Bloomington, IL 61704. The listed phone number is (309) 846-4716.

What is Kimberly Gordon's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Kimberly Gordon was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.