Carmelina Gordon in Jackson - Retina Specialist
Carmelina Gordon - NPI 1952399297
Carmelina Gordon is a Retina Specialist in Jackson, Michigan. Carmelina Gordon practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Carmelina Gordon is 1952399297. The last update date is 2022-07-21.
Carmelina Gordon's current location address is 850 W North St Ste 104, Jackson, Michigan. You can contact this provider via phone number 8778528463 and fax number 5178170144. The mailing address for Carmelina Gordon is 850 W North St Ste 104, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmelina Gordon |
|---|---|
| Address | 850 W North St Ste 104, Jackson, Michigan |
| Phone Number | 8778528463 |
| Fax Number | 5178170144 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952399297 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 850 W North St Ste 104 |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492023196 |
| Phone Number | 8778528463 |
| Fax Number | 5178170144 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 4301063145 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4496389 | MI | -- | |
| 180044966 | RAILROAD MEDICARE | ||
| 180C846310 | MI | BCBSM | |
| 180H149970 | MI | BCBSM | |
| 4380786 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carmelina Gordon by the Centers for Medicare & Medicaid Services?
The Carmelina Gordon has been issued the NPI (National Provider Identifier) 1952399297. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carmelina Gordon is located?
The Carmelina Gordon is situated at the following address: 850 W North St Ste 104, Jackson, MI, 492023196.
Could you kindly provide the complete physical address where Carmelina Gordon's facilities are geographically located?
The facilities of Carmelina Gordon are physically situated at the following location: 850 W North St Ste 104, Jackson, MI, 492023196.
On what date did Carmelina Gordon receive its 1952399297 assignment from the Centers for Medicare & Medicaid Services?
The Carmelina Gordon was assigned its 1952399297 on 2005-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Carmelina Gordon most recently updated or refreshed?
The details pertaining to the Carmelina Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.