Matthew William Gordon (NPI# 1003266032, PAC ID# 7416240577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003266032 |
| PAC ID by PECOS | 7416240577 |
| Professional Enrollment ID | I20191024002356 |
| Full Name | Matthew William Gordon |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Address |
10539 Professional Cir Suite 200 Reno NV 89521-3858 |
| Phone Number | 7754457650 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153479027 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10539 Professional Cir, Suite 200, Reno, NV 89521-3858 | 7754457650 | CARSON TAHOE PHYSICIAN CLINICS |
| Organization Legal Name | CARSON TAHOE PHYSICIAN CLINICS |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Friend | Nurse Practitioner | Carson Tahoe Physician Clinics | 775 Fleischmann Way, Fl 2, Carson City, NV 89703-2995 |
| Christopher R Vlasek | Family Medicine | Carson Tahoe Physician Clinics | 926 Incline Village Way, Suite 150, Incline Village, NV 89451-0001 |
| Mridula Vinjamuri | Hematology/oncology | Carson Tahoe Physician Clinics | 1535 Medical Pkwy B, Carson City, NV 89703-4637 |
| Deborah Le Balch | Nurse Practitioner | Carson Tahoe Physician Clinics | 2874 N Carson St, Suite 200, Carson City, NV 89706-1682 |
| Carol J Daake | Nurse Practitioner | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| David M Baker | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Kindal Lee Andrews | Nurse Practitioner | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Mark T Brune | Internal Medicine | Carson Tahoe Physician Clinics | 925 Ironwood Dr, Minden, NV 89423-5180 |
| Stephen M Tann | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| Madhur A Roberts | Cardiovascular Disease (cardiology) | Carson Tahoe Physician Clinics | 1470 Medical Pkwy, Suite 160, Carson City, NV 89703-4636 |
| Street Address |
10539 PROFESSIONAL CIR SUITE 200 |
| City | RENO |
| State | NV |
| Zip | 89521-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gena S Turner | Nurse Practitioner | Carson Tahoe Physician Clinics | 10539 Professional Cir, Suite 200, Reno, NV 89521-3858 |
| William Md Povolny | Internal Medicine | Carson Tahoe Physician Clinics | 10539 Professional Cir, Suite 200, Reno, NV 89521-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie Jean Jacques Nolle | Chiropractic | 9476 Double R Blvd, Suite A, Reno, NV 89521-2959 | |
| Elizabeth Anne Mosco | Psychologist, Clinical | 9645 Gateway Dr, Suite B, Reno, NV 89521-2967 | |
| Kaeai S Edgerly | Nurse Practitioner | Parekh Minuteclinic of Nevada PC | 55 Damonte Ranch Pkwy, Reno, NV 89521-2996 |
| Katharine P Gould | Nurse Practitioner | Parekh Minuteclinic of Nevada PC | 55 Damonte Ranch Pkwy, Reno, NV 89521-2996 |
| Nitesh Devji Kuhadiya | Endocrinology | Community Care Services LLC | 10085 Double R Blvd, Suite 205, Reno, NV 89521-3854 |
| Marie M Mccormack | Family Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Julia C Dixon | Nurse Practitioner | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Heather Amanda Baxter | Internal Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Radmila Mikan Savcic Kos | Internal Medicine | Hometown Health Management Company | 10085 Double R Blvd, Suite 220, Reno, NV 89521-3855 |
| Anthony Field | Cardiovascular Disease (cardiology) | Community Care Services LLC | 10085 Double R Blvd, Suite 225, Reno, NV 89521-3855 |
| Find all physicians in zip 89521 | |||
| City | RENO |
| Zip Code | 89521 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RENO + FAMILY MEDICINE |
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| 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.