Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since August 05, 2026
10586 SOURWOOD AVE, WALDORF, MD 20603(301) 918-5212(301) 517-9318 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

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 Patrina 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 20603-5711
Mailing Address8507 Oxon Hill Rd Ste 200Fort Washington, MD 20744-4774 · (301) 918-5212 · Fax (301) 517-9318
Fax(301) 517-9318
Organization SubpartNo
Authorized OfficialPatrina GordonOwner · (301) 918-5212
Enumeration DateAugust 5, 2026
Last NPPES UpdateOctober 22, 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

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 October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.