GARY GORDON


Address: 100 E Lancaster Ave, Suite 137 Lankenau Medical Bldg., Wynnewood, PA 19096-3450
Phone: 6108968400

GARY GORDON (NPI# 1225065774) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
MD017706E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 11966 05

Other Providers GARY GORDON

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

Office Location

Street Address 100 E LANCASTER AVE
SUITE 137 LANKENAU MEDICAL BLDG.
City WYNNEWOOD
State PA
Zip Code 19096-3450

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City WYNNEWOOD
Zip Code 19096

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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.

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