MICHAEL K GORDON


Address: 2125 Crystal Grove Dr, Lakeland, FL 33801
Phone: 8636882334

MICHAEL K GORDON (NPI# 1023248648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023248648
Entity Type Individual
Full Name MICHAEL K GORDON
Credential MD
Practice Address 2125 Crystal Grove Dr
Lakeland
FL 33801
Mailing Address 2125 Crystal Grove Dr
Lakeland
FL 33801-6875
Practice Telephone 8636882334
Practice Fax Number 8635770303
Mailing Telephone 8636882334
Mailing Fax Number 8635770303
Enumeration Date 2009-07-16
Last Update Date 2019-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
DR.005482 CO Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME112396 FL Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
ME112396 FL Allopathic & Osteopathic Physicians

Other Providers MICHAEL GORDON

NPI Name Taxonomy Address Enumeration
1871136267 Michael Deshuan Gordon Counselor 112 Spanish Moss Dr, Clinton, MS 39056-5838 2019-10-18
1689136137 Michael Gordon General Practice 750 Columbus Ave Apt 6a, New York, NY 10025-6477 2019-04-03
1225562622 Michael Don Gordon Clinical Nurse Specialist 373 Breezeel School Rd, Benton, KY 42025-5376 2017-04-12
1275981805 Michael Gordon Community Health Worker 659 E Jefferson St, Freeport, IL 61032-6027 2016-05-24
1104263342 Michael Adam Gordon Specialist/Technologist 3802 Isabella Ave, Cincinnati, OH 45209-2112 2013-05-29
1902961410 Michael Gordon Psychiatry & Neurology 23 Knott Dr, Glen Cove, NY 11542-4116 2006-12-26
1851407027 Michael Anthony Gordon Dentist 829 Main St, Schererville, IN 46375-1100 2006-08-21
1801807912 Michael A Gordon Optometrist 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 2006-08-11
1821042433 Michael Edward Gordon Dentist 635 Chicago Ave, Evanston, IL 60202 2006-05-19
1609842053 Michael Charles Gordon Obstetrics & Gynecology 801 North 29th Street, Billings, MT 59101-5100 2006-02-26

Office Location

Street Address 2125 CRYSTAL GROVE DR
City LAKELAND
State FL
Zip Code 33801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427049931 Radiology & Imaging Specialists of Lakeland Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2005-11-03
1942751813 Teresa M Colletti Nurse Practitioner 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2016-10-17
1225589179 Rodney Shawn Carter Nurse Practitioner 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2016-10-16
1467866780 Rekhaben Ramanbhai Suthar Anesthesiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2014-06-14
1548526155 Vascular Specialists of Lakeland, LLC Surgery 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2012-04-09
1801185897 Matthew P Buzzeo Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2011-03-30
1336448562 Neel D Karamsadkar Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2011-03-28
1811216732 Ritu Aparajita Surgery 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2010-05-18
1871721167 Joseph Daniel Mullen Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2009-06-25
1427207968 Venkat P Tummala Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2008-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473802 Camryn Nichole White Assistant Behavior Analyst 301 South Florida Ave, Lakeland, FL 33801 2020-09-30
1932719242 Jimia Watkins Home Health Aide 2410 Lakeview St, Lakeland, FL 33801 2020-08-03
1396366886 Erin Zimmer Health Educator 491 Lake Parker Ave, Lakeland, FL 33801 2020-05-06
1013473206 Madelyn Claire Burley Occupational Therapist 1215 East Orange Street, Lakeland, FL 33801 2019-02-13
1992260319 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 1617 Us Highway 98 S, Lakeland, FL 33801 2019-02-11
1669908836 Integrative Physical Medicine of Lakeland LLC Specialist 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 2017-05-10
1689111502 Daryl Dowding Counselor 390 Alcaia Rd., Lakeland, FL 33801 2017-01-30
1023481926 Joseph D'alessandro Specialist/Technologist 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 2015-11-02
1588030894 Donna Lee Buckner Specialist/Technologist 111 Mosswood Road, Lakeland, FL 33801 2015-08-20
1144635780 Donna Paige Mccraney Nurse Practitioner 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 2014-06-23
Find all providers in zip 33801

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013280361 Radiology & Imaging Specialists of Lakeland Pa Radiology 1121 Lakeland Hills Blvd, Lakeland, FL 33805-4655 2012-02-17
1427049931 Radiology & Imaging Specialists of Lakeland Radiology 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 2005-11-03
1063032993 Radiology & Imaging Specialists of Lakeland, Pa Radiology 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 2020-04-21
1851803407 Radiology & Imaging Specialists of Lakeland, Pa Radiology 4710 S Florida Ave, Lakeland, FL 33813-2165 2017-11-03
1487180659 Central Florida Imaging of Lakeland LLC Radiology 1205 East Magnolia St, Suite 109, Lakeland, FL 33801 2017-05-10
1326404195 Radiology & Imaging Specialists of Lakeland, Pa Radiology 130 Pablo St, Lakeland, FL 33803-3818 2016-01-11
1427493931 Tadeusz Ciszak Radiology 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 2013-05-10
1750654000 Radiology & Imaging Specialists of Lakeland, Pa Radiology 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 2012-02-17
1649543992 Radiology & Imaging Specialists of Lakeland, Pa Radiology 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 2012-02-17
1558634816 Radiology & Imaging Specialists of Lakeland, Pa Radiology 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 2012-02-17
Find all providers in LAKELAND

Competitor

Search similar providers

City LAKELAND
Zip Code 33801

Improve Information

Please comment or provide details below to improve the information on MICHAEL K GORDON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches