Amanda E Gordon in Columbus - Internal Medicine
Amanda E Gordon - NPI 1073711602
Amanda E Gordon is a Internal Medicine in Columbus, Ohio. Amanda E Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Amanda E Gordon is 1073711602. The last update date is 2011-03-14.
Amanda E Gordon's current location address is 4030 West Henderson Road, Columbus, Ohio. You can contact this provider via phone number 6144427550 and fax number 6144424100. The mailing address for Amanda E Gordon is 4030 West Henderson Road, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda E Gordon |
|---|---|
| Address | 4030 West Henderson Road, Columbus, Ohio |
| Phone Number | 6144427550 |
| Fax Number | 6144424100 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073711602 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2011-03-14 |
Provider Mailing Address Detail
| Address | 4030 West Henderson Road |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 43220 |
| Phone Number | 6144427550 |
| Fax Number | 6144424100 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 35.089724 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2769857 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amanda E Gordon?
The Amanda E Gordon has been issued the NPI (National Provider Identifier) 1073711602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Amanda E Gordon is physically located?
The Amanda E Gordon is physically situated at the following address: 4030 West Henderson Road, Columbus, OH, 43220.
What is Amanda E Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda E Gordon's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date was the 1073711602 assigned to Amanda E Gordon?
The Amanda E Gordon was issued its 1073711602 on 2007-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Amanda E Gordon most recently updated or revised?
The details related to Amanda E Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-14.