Jennifer C. Gourdin M.D.
Sports Medicine (Family Medicine) Physician in Silver Spring, MD(View on Map)
Full Name
Jennifer Christie Gourdin M.D.
NPI Number
1194168385
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/08/2013
Specialties
(Taxonomies)Name
Code
207QS0010X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Maryland
License Number
D82925
Contact
Information
Purpose
Mailing
Location
Address
2101 E JEFFERSON ST STE 6W
12201 PLUM ORCHARD DR
City
Rockville
Silver Spring
State
MD
MD
Postal Code
20852-4908
20904-7803
Country
US
US
Telephone Number
(301) 816-5853
(301) 618-5500
Health Information Exchange
Endpoint Type
SOAP
SOAP
Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint Description
carequality
Carequality
Use
Health Information Exchange (HIE)
Health Information Exchange (HIE)
Content Type
Other
Other Description:c-cda
Other
Other Description:C-CDA
Affiliation
N
N
Endpoint Location
12201 Plum Orchard DrSilver Spring, MD209047803US
12201 Plum Orchard DrSilver Spring, MD209047803US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2022
Provider Address
Other Sports Medicine (Family Medicine) Physicians in Silver Spring, Maryland:
Jonathan Lawless D.O.
Silver Spring, MDSpecialty: Sports Medicine (Family Medicine) Physician (Primary)