GARY GORDON (NPI# 1225065774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225065774 |
Entity Type | Individual |
Full Name | GARY GORDON |
Credential | M.D. |
Practice Address |
100 E Lancaster Ave Suite 137 Lankenau Medical Bldg. Wynnewood PA 19096-3450 |
Mailing Address |
100 Lancaster Avenue Suite 137 Wynnewood PA 19096 |
Practice Telephone | 6108968400 |
Practice Fax Number | 6108969652 |
Mailing Telephone | 6108968400 |
Mailing Fax Number | 6108969652 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2012-11-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD017706E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 11966 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811280605 | Gary N Gordon | Dentist | 5100 Tamiami Trl N, Suite 201, Naples, FL 34103-2824 | 2011-05-26 |
1689675449 | Gary M Gordon | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2005-08-02 |
1952431629 | Gary Lee Gordon | Social Worker | 6800 Backlick Rd, Suite 202, Springfield, VA 22150-3070 | 2007-03-06 |
1124177167 | Gary Hart Gordon | Radiology | 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895-2138 | 2007-01-09 |
1245291780 | Gary S Gordon | Internal Medicine | 800 Biesterfield Rd, Suite 210, Elk Grove Village, IL 60007-3311 | 2006-03-31 |
1124010640 | Gary G. Gordon | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2005-08-19 |
Street Address |
100 E LANCASTER AVE SUITE 137 LANKENAU MEDICAL BLDG. |
City | WYNNEWOOD |
State | PA |
Zip Code | 19096-3450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
Find all providers in zip 19096 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144427493 | Gary Gordon | Internal Medicine | 100 E Lancaster Ave, 137 Lankenau Medical Bldg., Wynnewood, PA 19096-3450 | 2007-06-29 |
1174568612 | Thomas Peter Harder | Internal Medicine | 100 E Lancaster Ave, 137 Lankenau Medical Bldg., Wynnewood, PA 19096-3450 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
1154980878 | Heritage Valley Medical Group, Inc. | Internal Medicine | 27 Heckel Rd Ste 207, Mc Kees Rocks, PA 15136-1673 | 2019-06-06 |
1730609991 | Pinnacle Health Regional Physicians | Internal Medicine | 1725 Oregon Pike Ste B107, Lancaster, PA 17601-4290 | 2017-06-20 |
1295268050 | Peter Callegari | Internal Medicine | 1803 Hawkweed Way, Malvern, PA 19355-8723 | 2017-04-09 |
1841652740 | Carole Dorsch | Internal Medicine | 2021 Garnet Rd, York, PA 17403-4205 | 2016-03-22 |
1144687336 | Rheumatology Care Center Pllc | Internal Medicine | 3551 Rhoads Ave, Newtown Square, PA 19073-3629 | 2016-01-20 |
1811372022 | Lancaster Medical Group, LLC | Internal Medicine | 1725 Oregon Pike Ste 107, Lancaster, PA 17601-4206 | 2015-07-29 |
1134527666 | Noble Medical Care | Internal Medicine | 6760 Market Street, 1st Floor, Upper Darby, PA 19082 | 2014-12-16 |
1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
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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.