GARY M GORDON (NPI# 1689675449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689675449 |
Entity Type | Individual |
Full Name | GARY M GORDON |
Credential | DPM |
Practice Address |
2285 Cross Rd Glenside PA 19038-5023 |
Practice Telephone | 2158875910 |
Practice Fax Number | 2158870387 |
Mailing Telephone | 2158875910 |
Mailing Fax Number | 2158870387 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2008-03-18 |
NPI Deactivation Date | 03/21/2006 |
NPI Reactivation Date | 2006-03-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC001507L | PA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | KEYSTONE/AMERIHEALTH | 0060610000 | 01 |
PA | 0015356250001 | 05 | |
PA | KEYSTONE MERCY | 30002264 | 01 |
PA | AETNA | 7305038 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811280605 | Gary N Gordon | Dentist | 5100 Tamiami Trl N, Suite 201, Naples, FL 34103-2824 | 2011-05-26 |
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 |
1225065774 | Gary Gordon | Internal Medicine | 100 E Lancaster Ave, Suite 137 Lankenau Medical Bldg., Wynnewood, PA 19096-3450 | 2006-06-27 |
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 |
2285 CROSS RD |
City | GLENSIDE |
State | PA |
Zip Code | 19038-5023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760017214 | Brittany Gumerman | Physical Therapist | 2285 Cross Rd, Glenside, PA 19038-5009 | 2020-03-05 |
1609311034 | Gordon Podiatry, LLC | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2016-12-20 |
1710321823 | Alicia Anne Canzanese | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2013-04-18 |
1770839763 | Lawrence A. Paster Physical Therapy, LLC | Physical Therapist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2012-07-27 |
1659455756 | Gary M Gordon Dpm PC | Durable Medical Equipment & Medical Supplies | 2285 Cross Rd, Glenside, PA 19038 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
Find all providers in zip 19038 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710321823 | Alicia Anne Canzanese | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2013-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
Find all providers with the same taxonomy |
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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.