Gary G Gordon (NPI# 1124010640, PAC ID# 7113913591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1124010640 |
PAC ID by PECOS | 7113913591 |
Professional Enrollment ID | I20041020000791 |
Full Name | Gary G Gordon |
Organization Legal Name | RUSH MEDICAL FOUNDATION |
Address |
1314 19th Ave Meridian MS 39301-4116 |
Phone Number | 6014830011 |
Gender | M |
Credential | MD |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1974 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2567368541 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250069 | RUSH FOUNDATION HOSPITAL |
251316 | H C WATKINS MEMORIAL HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
1314 19th Ave, Meridian, MS 39301-4116 | 6014830011 | RUSH MEDICAL FOUNDATION |
Organization Legal Name | RUSH MEDICAL FOUNDATION |
Physicians | 29 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick R Barber | Family Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
Christopher W Swift | Internal Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
John W Johnston | Family Medicine | Rush Medical Foundation | 905 C S Frontage Rd, Ec Healthnet Family Health Center, Meridian, MS 39301-6113 |
Jeffrey Seale | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
Nadine Bush | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
Daniel B Palm | Family Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
James C. Matthews Iii | Family Medicine | Rush Medical Foundation | 1314 19th Ave, Meridian, MS 39301-4116 |
Rushikesh H Mehta | Pediatric Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
Terri L Byrd | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
Gary Adam Mcpherson | Nurse Practitioner | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
Street Address |
1314 19TH AVE |
City | MERIDIAN |
State | MS |
Zip | 39301-4116 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patsy Lenan Holloway | Nurse Practitioner | Rush Care, Inc. | 1314 19th Ave, Meridian, MS 39301-4116 |
Amanda Danielle Simpson | Nurse Practitioner | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Patrick Robbins | Diagnostic Radiology | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Pattie Suzanne Weaver | Nurse Practitioner | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Richard Davis Friend | Family Medicine | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Cynthia M Schuetz Smith | Nurse Practitioner | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Nathan E Myatt | Diagnostic Radiology | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Michael B Guin | Nurse Practitioner | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Krystle E Monk | Nurse Practitioner | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Hussein A Kammona | Emergency Medicine | Medical Foundation Inc | 1314 19th Ave, Meridian, MS 39301-4116 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
Find all physicians in zip 39301 |
City | MERIDIAN |
Zip Code | 39301 |
Specialty | FAMILY MEDICINE |
City + Specialty | MERIDIAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary G Gordon.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.