DR. PETER M GORDON (NPI# 1558565085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558565085 |
| Entity Type | Individual |
| Full Name | DR. PETER M GORDON |
| Credential | MD, PHD |
| Practice Address |
300 Longwood Ave Boston MA 02115-5724 |
| Mailing Address |
42 Spring Park Ave Jamaica Plain MA 02130-2159 |
| Practice Telephone | 6173557260 |
| Mailing Telephone | 6175243839 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
221602 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568745677 | Peter F Gordon | Family Medicine | Avenida Los Tules 116, Int 14, Colonia Diaz Ordaz, Puerto Vallarta, JALISCO 48310 | 2011-09-25 |
| 1932244662 | Peter Michael Gordon | Counselor | 4030 E Broadway, Long Beach, CA 90803-1502 | 2007-02-20 |
| 1154316230 | Peter Eliot Gordon | Emergency Medicine | 218 Baltic St, Brooklyn, NY 11201-6620 | 2005-09-15 |
| 1093838856 | Peter Gregory Gordon | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2007-04-09 |
| 1205956109 | Peter Gordon | Physical Therapist | 349 W Commercial St, Ste 1275, E Rochester, NY 14445-2407 | 2007-04-02 |
| 1114070349 | Peter G Gordon | Dentist | 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557 | 2007-01-19 |
| 1568540342 | Peter W. Gordon | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
| 1679525141 | Peter H Gordon | Radiology | 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 | 2006-05-16 |
| 1831158955 | Peter T Gordon | Internal Medicine | 259 Main St, Yarmouth, ME 04096-6723 | 2006-03-18 |
| 1992706683 | Peter Alfred Gordon | Ophthalmology | 1457 Scott Blvd, Decatur, GA 30030-1705 | 2005-08-03 |
| Street Address |
300 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558788869 | John Prensner | Pediatrics | 44 Binney St Bldg Floor3, Boston, MA 02115-6013 | 2014-03-25 |
| 1649556879 | Yasser Elborai | Pediatrics | 450 Brookline Ave # Sw301, Boston, MA 02215-5418 | 2011-11-02 |
| 1386834422 | Sonia Franco | Pediatrics | 1 Blackfan Cir, Karp Rbo9006f, Boston, MA 02115-5713 | 2007-07-25 |
| 1841354941 | Todd R Golub | Pediatrics | Dana-farber Cancer Inst, 44 Binney Street, Boston, MA 02115 | 2006-12-21 |
| 1184702722 | Daniel P. Kronish | Pediatrics | 66 Revere St, Boston, MA 02114-4405 | 2006-11-01 |
| 1992766984 | Jennifer S Whangbo | Pediatrics | 44 Binney Street, Dana 3, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-03-29 |
| 1902874241 | Kapil Saxena | Pediatrics | 300 Longwood Ave # Fegan707, Children's Hospital Boston, Boston, MA 02115-5724 | 2006-03-11 |
| 1912900507 | Carlos Rodriguez-galindo | Pediatrics | 44 Binney St, Sw350, Boston, MA 02115-6013 | 2005-05-27 |
| 1134547532 | Ulrike Gerdemann | Pediatrics | 450 Brookline Ave, Boston, MA 02215-5450 | 2014-04-02 |
| 1366869257 | Kirsty Hillier | Pediatrics | 450 Brookline Ave, Boston, MA 02215 | 2014-03-28 |
| Find all providers in BOSTON | ||||
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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.