John B Gordon in Milwaukee - Pediatric Critical Care Medicine
John B Gordon - NPI 1558312355
John B Gordon is a Pediatric Critical Care Medicine in Milwaukee, Wisconsin. John B Gordon practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for John B Gordon is 1558312355. The last update date is 2013-11-19.
John B Gordon's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142666943 and fax number 4142662926. The mailing address for John B Gordon is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John B Gordon |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142666943 |
| Fax Number | 4142662926 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558312355 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2013-11-19 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4142666943 |
| Fax Number | 4142662926 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 37665 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558312355 | WI | -- | |
| 000011354C | HUMANA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John B Gordon by the Centers for Medicare & Medicaid Services?
The John B Gordon has been issued the NPI (National Provider Identifier) 1558312355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John B Gordon is physically located?
The John B Gordon is physically situated at the following address: 9000 W Wisconsin Ave, Milwaukee, WI, 532264874.
What is John B Gordon's area of expertise and its corresponding taxonomy classification?
The John B Gordon's field of specialization is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1558312355 to John B Gordon?
The Centers for Medicare & Medicaid Services assigned the 1558312355 to John B Gordon on 2006-05-15.
When was the John B Gordon's information last updated?
The John B Gordon's information was last updated on 2013-11-19.