ALAN N GORDON (NPI# 1932191582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932191582 |
| Entity Type | Individual |
| Full Name | ALAN N GORDON |
| Credential | M.D. |
| Practice Address |
840 Pine St Ste 760 Macon GA 31201-2100 |
| Practice Telephone | 4786336090 |
| Practice Fax Number | 4786334080 |
| Mailing Telephone | 4786336090 |
| Mailing Fax Number | 4786334080 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2013-05-23 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
066740 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278322300 | 05 | |
| AZ | 778269 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386775104 | Alan T Gordon | Social Worker | 1247 7th St Ste 300, Santa Monica, CA 90401-1644 | 2007-03-07 |
| 1043348097 | Alan D Gordon | Ophthalmology | 27 Sandy Ln Ste 220, Lewistown, PA 17044-1320 | 2007-03-01 |
| 1104985969 | Alan R. Gordon | Social Worker | 797 Beaver Creek Ln, Havana, FL 32333-4731 | 2006-12-07 |
| 1518959287 | Alan J Gordon | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2005-08-18 |
| 1619121555 | Alan Gordon | Dentist | 4400 Stamp Rd, Suite #313, Marlow Heights, MD 20748-6716 | 2008-11-05 |
| 1710007042 | Alan M Gordon | Dentist | 299 Seymour Ave, Suite 8, Derby, CT 06418-1342 | 2007-03-30 |
| 1073698635 | Alan Lee Gordon | Psychiatry & Neurology | 300 Central Park W, New York, NY 10024-1513 | 2006-10-25 |
| 1689760654 | Alan Howard Gordon | Clinical Neuropsychologist | 45 Walpole St, Ste 6, Norwood, MA 02062-3319 | 2006-10-05 |
| 1538273065 | Alan Stuart Gordon | Psychologist | 196 Princeton Hightstown Rd, Building 1 Second Floor, Princeton Junction, NJ 08550-1672 | 2006-08-19 |
| 1053325639 | Alan L. Gordon | Psychiatry & Neurology | 1901 1st Ave, New York, NY 10029-7494 | 2006-07-28 |
| Street Address |
840 PINE ST STE 760 |
| City | MACON |
| State | GA |
| Zip Code | 31201-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
| 1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
| 1487000501 | Jessica Knight | Nurse Practitioner | 840 Pine St, Ste 900, Macon, GA 31201-2100 | 2016-05-07 |
| 1932567716 | Kaci Robinson | Nurse Practitioner | 840 Pine St, Ste 510, Macon, GA 31201-2100 | 2016-02-08 |
| 1245648245 | Stephanie Tolliver-epps | Nurse Practitioner | 840 Pine St, Macon, GA 31201-2100 | 2014-07-23 |
| 1518389170 | Jonathan Haynes | Physician Assistant | 840 Pine St, Ste 500, Macon, GA 31201-2100 | 2014-01-15 |
| 1164862710 | Alison M Robbins | Nurse Practitioner | 840 Pine St, Ste 780, Macon, GA 31201-2100 | 2013-06-27 |
| 1336582626 | Charles D Gomez | Student in an Organized Health Care Education/Training Program | 840 Pine St, Macon, GA 31201-2100 | 2013-04-17 |
| 1932485125 | Children's Neurology Ctr Macon, LLC | Psychiatry & Neurology | 840 Pine St, Ste 970, Macon, GA 31201-2100 | 2011-11-01 |
| 1710290606 | Georgia Neurosurgical Institute Outpatient Surgery Center | Clinic/Center | 840 Pine St, Suite 810, Macon, GA 31201-2100 | 2010-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740579390 | Marian Symmes Johnson | Obstetrics & Gynecology | 682 Hemlock St Ste 210, Macon, GA 31201 | 2011-04-05 |
| 1922473859 | Macon Gynecologic Oncology LLC | Obstetrics & Gynecology | 770 Pine St Ste 210, Macon, GA 31201-7512 | 2015-12-03 |
| 1346314069 | Michael B Dillon | Obstetrics & Gynecology | 770 Pine St Ste 210, Macon, GA 31201-7512 | 2006-11-17 |
| 1073589909 | Gary Eddy Sr. | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2006-02-28 |
| 1770558611 | Younes N Bakri | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174880223 | Ernest Washington Franklin IIi | Obstetrics & Gynecology | 1 Bookhaven Dr., Suite 400, Atlanta, GA 30319-3059 | 2012-04-13 |
| 1912118324 | Namita Khanna | Obstetrics & Gynecology | 1365 A Clifton Rd, Building Aa, 4'th Floor, Atlanta, GA 30332-2200 | 2007-05-25 |
| 1417060112 | Ainsworth Gatewood Dudley | Obstetrics & Gynecology | 401 S Lee St, Americus, GA 31709-3917 | 2006-08-16 |
| 1265465140 | Evelyn A Reynolds | Obstetrics & Gynecology | 2500 Hospital Blvd Ste 410, Roswell, GA 30076 | 2006-07-07 |
| 1245260884 | Ira Robert Horowitz | Obstetrics & Gynecology | Department of Gynecology and Obstetrics, 1365 Clifton Road, N.e., Atlanta, GA 30322-0001 | 2006-07-03 |
| 1780650283 | Matthew O Burrell | Obstetrics & Gynecology | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-02-24 |
| 1598750945 | William Edward Richards | Obstetrics & Gynecology | 5353 Reynolds St Ste 200, Savannah, GA 31405-6087 | 2005-09-13 |
| 1831699966 | Keianna S Haley | Obstetrics & Gynecology | 3240 Avalon Blvd, Conyers, GA 30013-6320 | 2018-02-15 |
| 1528433968 | St Francis Physician Practices LLC | Obstetrics & Gynecology | 2300 Manchester Expy, C001, Columbus, GA 31904-6802 | 2015-12-10 |
| 1184051104 | Columbus Gynecology Oncology Management Services, LLC | Obstetrics & Gynecology | 2300 Manchester Expy, Ste C001, Columbus, GA 31904-6877 | 2013-10-04 |
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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.