DR. SANFORD GORDON (NPI# 1124102678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124102678 |
| Entity Type | Individual |
| Full Name | DR. SANFORD GORDON |
| Credential | MD |
| Practice Address |
788 Elm Spring Rd Pittsburgh PA 15243-1004 |
| Practice Telephone | 4125618966 |
| Practice Fax Number | 4125613249 |
| Mailing Telephone | 4125618966 |
| Mailing Fax Number | 4125613249 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
05001753L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE NUMBER | 05001753L | 01 |
| PA | BLUE SHIELD | 428939 | 01 |
| Street Address |
788 ELM SPRING RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15243-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275884694 | Maria M Martin | Counselor | 37 Mc Murray Rd, Suite 209, Pittsburgh, PA 15243 | 2012-09-25 |
| 1023306883 | Christina R Lieb | Physical Therapist | 1145 Bower Hill Road #101, Mt Lebanon, PA 15243 | 2011-07-14 |
| 1023114493 | Dennis Anthony Perry | Dentist | 1082 Bower Hill Road, Pittsburgh, PA 15243 | 2006-09-15 |
| 1730158643 | Rene Vernon Straka | Nurse Anesthetist, Certified Registered | 117 Elatan Drive, Pittsburgh, PA 15243 | 2006-03-14 |
| 1922002385 | Robert Earl Flanigan | Internal Medicine | 1050 Bower Hill Road, Ste 305, Pittsburgh, PA 15243 | 2005-06-13 |
| 1124575782 | Ashley Louise Ashaolu | Anesthesiology | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2016-09-01 |
| 1871962654 | Emily Beth Mertiff | Nurse Practitioner | 1050 Bower Hill Road, Suite 202, Pittsburgh, PA 15243 | 2015-09-22 |
| 1114305273 | Ariel Hofman | Pediatrics | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2015-05-09 |
| 1326436528 | Megan Stanik | Pharmacist | 1121 Bower Hill Rd, Pittsburgh, PA 15243 | 2014-12-23 |
| 1154667657 | Edward Walter Jew Jr. | Surgery | 100 Adams Ave, Apt - 224, Pittsburgh, PA 15243 | 2013-01-02 |
| Find all providers in zip 15243 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| 1497208060 | Alfred Michael Mancini | Radiology | 109 Glen David Dr, Pittsburgh, PA 15238-1513 | 2016-07-29 |
| 1649667932 | Christopher Abraham | Radiology | 320 East North Ave., Allegheny General Hospital, Pittsburgh, PA 15212 | 2015-04-24 |
| 1265871164 | Mark Sparrow | Radiology | 200 Lothrop St Ste 200e, Pittsburgh, PA 15213-2536 | 2013-06-24 |
| 1861838732 | Samuel Paul Deloia | Radiology | 200 Lothrop St Presby South Tower, 8th Fl, 8 North, Pittsburgh, PA 15213-2582 | 2013-05-17 |
| 1063775237 | Ross Haugh Smith Jr | Radiology | 22 The Trillium, Pittsburgh, PA 15238-1930 | 2012-06-21 |
| 1144583683 | Jason Eric Rothschild | Radiology | 200 Lothrop St Rm 538, Pittsburgh, PA 15213-2536 | 2012-06-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15243 |
Please comment or provide details below to improve the information on DR. SANFORD GORDON.
| 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.