PAUL ANTHONY GORDON


Address: 124a Professional Park Dr, Conway, SC 29526-9260
Phone: 8433479500

PAUL ANTHONY GORDON (NPI# 1215931936) 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) 1215931936
Entity Type Individual
Full Name PAUL ANTHONY GORDON
Credential M.D.
Practice Address 124a Professional Park Dr
Conway
SC 29526-9260
Practice Telephone 8433479500
Practice Fax Number 8433479595
Mailing Telephone 8433479500
Mailing Fax Number 8433479595
Enumeration Date 2005-06-09
Last Update Date 2010-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 21465 SC Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 9901642 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC NC BLUE CROSS BLUE SHIELD 1244Q 01
NC 891244Q 05
SC GP4505 05

Other Providers PAUL GORDON

NPI Name Taxonomy Address Enumeration
1831649912 Paul Gordon Counselor 3049 N 55th St, Milwaukee, WI 53210-1564 2016-10-12
1013050749 Paul J Gordon Chiropractor 3441 E Causeway Appr, Suite D, Mandeville, LA 70448-3480 2007-02-14
1164510517 Paul Richard Gordon Dentist 4435 Valley View Dr, Suite 103, Knoxville, TN 37917-1300 2006-10-11
1356341994 Paul James Gordon Thoracic Surgery (Cardiothoracic Vascular Surgery) 10604 Southwest Hwy Ste 101, Chicago Ridge, IL 60415 2005-07-26
1679632699 Paul Herberton Gordon Psychiatry & Neurology 710 W 168th St, New York, NY 10032-3726 2006-12-06
1588771893 Paul R Gordon Hospitalist 707 N Alvernon Way, Suite 101, Tucson, AZ 85711-1827 2006-08-23
1215043013 Paul H Gordon Emergency Medicine 1010 4th St Sw, Mason City, IA 50401-2857 2006-08-22
1164448171 Paul E Gordon Dentist 77 S Bedford St Ste 100, Burlington, MA 01803-5154 2006-07-14
1568496677 Paul C Gordon Internal Medicine 208 Collyer St, Ste 100, Providence, RI 02904 2006-07-11
1275560831 Paul R. Gordon Pediatrics 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 2006-06-27

Office Location

Street Address 124A PROFESSIONAL PARK DR
City CONWAY
State SC
Zip Code 29526-9260

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710513957 Conway Regional Medical Center, Inc Family Medicine 1700 Altus St Ste 110, Conway, AR 72032-4299 2020-03-19
1912543240 University of Central Arkansas Family Medicine 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 2019-11-21
1588012728 Arkansas Health Group Family Medicine 625 United Dr Ste 120a, Conway, AR 72032-7826 2016-05-27
1477999282 Michael Paul Carson Family Medicine 605 United Dr, Conway, AR 72032 2013-05-20
1427335835 Brieanna R Breeding Family Medicine 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 2011-11-14
1710217104 Billy R Mcbay Md Pa Family Medicine 505 E Dave Ward Dr, Ste 3, Conway, AR 72032-7825 2010-01-06
1417118076 Alexander Tyler Family Medicine 455 Elsinger Blvd, Conway, AR 72032-4716 2008-06-17
1336317593 James L Floyd Jr. Family Medicine 128a Professional Park Place, Agape Physicians Care, Conway, SC 29526-9260 2008-02-11
1326246190 Thad Ridge Hardin Family Medicine 2425 Dave Ward Dr Ste 401, Conway, AR 72034 2007-07-03
1235336959 James Austin Capps Jr. Family Medicine Conway Interfaith Clinic, Inc, 830 North Creek Drive, Conway, AR 72032 2007-06-27
Find all providers in CONWAY

Competitor

Search similar providers

City CONWAY
Zip Code 29526

Improve Information

Please comment or provide details below to improve the information on PAUL ANTHONY 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