PETER H GORDON


Address: 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794
Phone: 5084273106

PETER H GORDON (NPI# 1679525141) 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) 1679525141
Entity Type Individual
Full Name PETER H GORDON
Credential MD
Practice Address 235 N Pearl St
Radiology Department
Brockton
MA 02301-1794
Mailing Address 92 Arlington Rd
Chestnut Hill
MA 02467-2615
Practice Telephone 5084273106
Practice Fax Number 5084272538
Mailing Telephone 5084273106
Mailing Fax Number 5084272538
Enumeration Date 2006-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
043015 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 0114057 05

Other Providers PETER GORDON

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
1558565085 Peter M Gordon Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2007-06-11
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
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

Office Location

Street Address 235 N PEARL ST
RADIOLOGY DEPARTMENT
City BROCKTON
State MA
Zip Code 02301-1794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275527020 Mark S Dichter Internal Medicine 235 N Pearl St, Brockton, MA 02301-1794 2005-09-08
1811523913 Paige Graham Physician Assistant 235 N Pearl St, Brockton, MA 02301-1794 2020-03-20
1477109627 Nathaniel Minh Dang Nurse Practitioner 235 N Pearl St, Brockton, MA 02301-1794 2019-08-14
1457811846 Joliane Charlotin Social Worker 235 N Pearl St, Brockton, MA 02301-1794 2019-03-21
1437614229 Julia Louis Advanced Practice Midwife 235 N Pearl St, Brockton, MA 02301-1700 2019-02-05
1124502497 Guy A Fleuette Social Worker 235 N Pearl St, Brockton, MA 02301-1794 2018-09-21
1114408275 Jacqueline Gail Donahue Social Worker 235 N Pearl St, Brockton, MA 02301-1794 2018-08-27
1326529652 Christie E. Culbert Social Worker 235 N Pearl St, Brockton, MA 02301-1794 2018-08-24
1316425770 Karyn Smart-strobert Social Worker 235 N Pearl St, Brockton, MA 02301-1794 2018-07-29
1982101192 Eva Gougian Physician Assistant 235 N Pearl St, Brockton, MA 02301-1794 2018-04-12
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1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629282884 Arnold Chung Wai Cheung Radiology 236 N. Pearl St., Brockton, MA 02301-0001 2007-05-09
1548266653 Tiron C.m. Pechet Radiology 265 Westgate Dr, Brockton, MA 02301-1817 2005-06-23
1538422050 My-linh Nguyen Radiology 680 Centre St, Brockton, MA 02302-3308 2012-06-19
1154683878 John Webster Gilbert Radiology 680 Centre Street, Brockton Radiological Associates, Inc., Brockton, MA 02302-3308 2012-06-08
1154645711 Scott Farzad Cameron Radiology 680 Centre St, Brockton, MA 02302-3308 2010-03-25
1295969772 Raghu R Amaravadi Radiology 680 Centre St, Brockton, MA 02302-3308 2009-05-12
1215109103 George William Poulos Radiology 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308 2008-03-31
1780775403 Inna E. Goldberg Radiology 235 N Pearl St, Brockton, MA 02301 2006-09-27
1497867923 Brockton Radiological Associates, Inc. Radiology 680 Centre St, Brockton, MA 02302-3308 2006-08-31
1275645533 Specialized Medical Imaging, Inc. Radiology 235 N Pearl St, Brockton, MA 02301-1794 2006-08-31
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Competitor

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City BROCKTON
Zip Code 02301

Improve Information

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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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