Andrew John Gordon in Kalamazoo - Specialist
Andrew John Gordon - NPI 1194761924
Andrew John Gordon is a Specialist in Kalamazoo, Michigan. Andrew John Gordon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Andrew John Gordon is 1194761924. The last update date is 2020-01-13.
Andrew John Gordon's current location address is 601 John St Ste M-283, Kalamazoo, Michigan. You can contact this provider via phone number 2693497696 and fax number 2693490610. The mailing address for Andrew John Gordon is 601 John St Ste M-283, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew John Gordon |
|---|---|
| Address | 601 John St Ste M-283, Kalamazoo, Michigan |
| Phone Number | 2693497696 |
| Fax Number | 2693490610 |
| Sole Proprietor | N |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1194761924 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2020-01-13 |
Provider Mailing Address Detail
| Address | 601 John St Ste M-283 |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490075382 |
| Phone Number | 2693497696 |
| Fax Number | 2693490610 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | AG067751 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 020A312720 | MI | BCBSM GROUP ID | |
| 4848964 | MI | -- | |
| 4227783 | MI | -- |
Post Comment/ Review Below
What is the Andrew John Gordon's 1194761924?
The Andrew John Gordon's NPI (National Provider Identifier) Number is 1194761924. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Andrew John Gordon is geographically located?
The Andrew John Gordon is physically situated at the following location: 601 John St Ste M-283, Kalamazoo, MI, 490075382.
What is Andrew John Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrew John Gordon is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194761924 to Andrew John Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1194761924 to Andrew John Gordon on 2006-06-21.
When was the information regarding Andrew John Gordon most recently updated?
The details pertaining to the Andrew John Gordon, including its address, specialty, and other relevant information, were last refreshed on 2020-01-13.