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MR. JEREMY ELIJAH GORDON
NPI 1417490343
Case Manager/Care Coordinator in Grove, OK

Active since November 25, 2016
1115 HARBOR RD, GROVE, OK 74344(918) 786-4434(918) 786-4435 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2017, Nov 25, 2016 (2 updates tracked since 2016).

About Mr. Jeremy Elijah Gordon NPPES

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

MR. JEREMY ELIJAH GORDON (NPI 1417490343) is an individual case manager/care coordinator provider in Grove, Oklahoma and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1417490343
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JEREMY ELIJAH GORDON
Location Address1115 HARBOR RDGrove, OK 74344-3505
Mailing Address1115 Harbor RdGrove, OK 74344-3505 · (918) 786-4434 · Fax (918) 786-4435
Phone(918) 786-4434
Fax(918) 786-4435
Sole ProprietorNo
Enumeration DateNovember 25, 2016
Last NPPES UpdateJanuary 30, 20172 updates tracked since enumeration
✔ NPI 1417490343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1115 HARBOR RD, Grove, OK 74344
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Other Names 1

Former Name (1)Mr. Jeremy Elijah Neal

Other Providers at the Same Location NPPES 20

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

SHERI THOMAS
Case Manager/Care Coordinator
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
JAMES WALLS
Counselor (Mental Health)
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
DENISE ANN WHIPKEY
Case Manager/Care Coordinator
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
JAQUELYNN JEAN WOOD
Registered Nurse
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
ANDREA M DESILVA
Case Manager/Care Coordinator
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
MARY ELLEN POLLETT
Peer Specialist
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434
CINDY MATTHEWS
Case Manager/Care Coordinator
1115 HARBOR RD
GROVE, OK 74344
Delaware County (918) 786-4434

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 Jeremy Gordon's NPI number?

The NPI number for Jeremy Gordon is 1417490343. It was assigned to this individual provider in the NPPES registry on November 25, 2016. The provider is also known as Mr. Jeremy Elijah Neal.

Where is Jeremy Gordon located?

Jeremy Gordon practices at 1115 Harbor Rd, Grove, OK 74344. The listed phone number is (918) 786-4434.

What is Jeremy Gordon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Gordon was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.