Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GORDON HEALTH CLINIC LLC
NPI 1700700408
Nurse Practitioner - Primary Care in Waldorf, MD

Q: What is Gordon Health Clinic LLC's NPI number?

The NPI number for Gordon Health Clinic LLC is 1700700408. It was assigned to this organization in the NPPES registry on August 5, 2026.

Q: What is Gordon Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 05, 2026

10586 SOURWOOD AVE, WALDORF, MD 20603(301) 918-5212 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Aug 18, 2026, Aug 5, 2026 (3 updates tracked since 2026).

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About Gordon Health Clinic Llc NPPES

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

GORDON HEALTH CLINIC LLC (NPI 1700700408) is a healthcare organization registered as a primary care in Waldorf, Maryland and active in the NPI registry since August 2026. The organization lists Patina Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1700700408

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameGORDON HEALTH CLINIC LLC

Location Address10586 SOURWOOD AVEWaldorf, MD 20603

Mailing Address10586 Sourwood AveWaldorf, MD 20603-5711 · (301) 918-5212 · Fax (301) 517-9318

Phone(301) 918-5212

Organization SubpartNo

Authorized OfficialPatina GordonOwner · (301) 918-5212

Enumeration DateAugust 5, 2026

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1700700408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

10586 SOURWOOD AVE, Waldorf, MD 20603

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gordon Health Clinic LLC's NPI number?

The NPI number for Gordon Health Clinic LLC is 1700700408. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Gordon Health Clinic LLC located?

Gordon Health Clinic LLC is located at 10586 Sourwood Ave, Waldorf, MD 20603. The listed phone number is (301) 918-5212.

What is Gordon Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Gordon Health Clinic LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.