GARY M GORDON


Address: 2285 Cross Rd, Glenside, PA 19038-5023
Phone: 2158875910

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
SC001507L PA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA KEYSTONE/AMERIHEALTH 0060610000 01
PA 0015356250001 05
PA KEYSTONE MERCY 30002264 01
PA AETNA 7305038 01

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
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

Office Location

Street Address 2285 CROSS RD
City GLENSIDE
State PA
Zip Code 19038-5023

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710321823 Alicia Anne Canzanese Podiatrist 2285 Cross Rd, Glenside, PA 19038-5023 2013-04-18

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City GLENSIDE
Zip Code 19038

Improve Information

Please comment or provide details below to improve the information on GARY M GORDON.

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.

Trending Searches