John Edward Gordon in Coeur D' Alene - Psychiatry
John Edward Gordon - NPI 1093868051
John Edward Gordon is a Psychiatry in Coeur D' Alene, Idaho. John Edward Gordon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Edward Gordon is 1093868051. The last update date is 2009-09-30.
John Edward Gordon's current location address is 1200 W. Ironwood, Coeur D' Alene, Idaho. You can contact this provider via phone number 2086511335 and fax number 2087650779. The mailing address for John Edward Gordon is 1200 W. Ironwood, Coeur D' Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edward Gordon |
|---|---|
| Address | 1200 W. Ironwood, Coeur D' Alene, Idaho |
| Phone Number | 2086511335 |
| Fax Number | 2087650779 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093868051 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2009-09-30 |
Provider Mailing Address Detail
| Address | 1200 W. Ironwood |
|---|---|
| City | Coeur D' Alene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2086511335 |
| Fax Number | 2087650779 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | M-6213 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1185400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Edward Gordon by the Centers for Medicare & Medicaid Services?
The John Edward Gordon has been issued the NPI (National Provider Identifier) 1093868051 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Edward Gordon located?
The John Edward Gordon is located at 1200 W. Ironwood, Coeur D' Alene, ID 83814.
What is John Edward Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Edward Gordon is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093868051 to John Edward Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1093868051 to John Edward Gordon on 2007-01-20.
When was the John Edward Gordon's information last updated?
The John Edward Gordon's information was last updated on 2009-09-30.