DR. MARVIN GORDON (NPI# 1922269844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922269844 |
| Entity Type | Individual |
| Full Name | DR. MARVIN GORDON |
| Credential | M.D. |
| Practice Address |
25862 Hersheyvale Dr Franklin MI 48025-1236 |
| Practice Telephone | 2486260057 |
| Practice Fax Number | 2486267708 |
| Mailing Telephone | 2486260057 |
| Mailing Fax Number | 2486267708 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
23015 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386860575 | Marvin Isaac Gordon | Ophthalmology | 3300 E South St Ste 207, Lakewood, CA 90805-4549 | 2007-04-17 |
| 1043256340 | Marvin Ralph Gordon | Internal Medicine | 4740 Dickinson Way, Doylestown, PA 18902-6522 | 2006-06-22 |
| Street Address |
25862 HERSHEYVALE DR |
| City | FRANKLIN |
| State | MI |
| Zip Code | 48025-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407284888 | Chi Yol Ryu | Radiology | 1431 Willowbrooke Cir, Franklin, TN 37069-7201 | 2013-10-23 |
| 1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
| 1043536931 | Joan Thompson Williams | Radiology | 1008 Chapel Lake Cir, Franklin, TN 37069-4665 | 2010-04-16 |
| 1811224918 | William Henry Straub | Radiology | 533 Miller Rd, Franklin, PA 16323-3535 | 2009-11-10 |
| 1528271152 | Eric M Edds | Radiology | The Medical Center @ Franklin, 1100 Brookhaven Road, Franklin, KY 42134-2746 | 2007-05-08 |
| 1831274109 | Vipul Sharma | Radiology | 7005 W Rawson Ave, Franklin, WI 53132-8113 | 2006-10-26 |
| 1700805918 | Digital Diagnostics, Plc | Radiology | 4155 Carothers Pkwy, Franklin, TN 37067-5905 | 2006-07-19 |
| 1063482156 | Cardiolabs, Inc. | Radiology | 357 Riverside Dr, Suite 1000, Franklin, TN 37064-8963 | 2006-01-23 |
| 1891787263 | Kunil Chris Chung | Radiology | One Medical Drive, Franklin, OH 45005-1066 | 2005-08-22 |
| 1154321016 | Freddy M Katai | Radiology | One Medical Center Drive, Franklin, OH 45005-1066 | 2005-07-21 |
| Find all providers in FRANKLIN | ||||
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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.