Jonathan P. Gordon in Goodlettsville - Diagnostic Radiology

Jonathan P. Gordon - NPI 1043232879

Jonathan P. Gordon is a Diagnostic Radiology in Goodlettsville, Tennessee. Jonathan P. Gordon practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jonathan P. Gordon is 1043232879. The last update date is 2011-11-30.

Jonathan P. Gordon's current location address is 3024 Business Park Cir, Goodlettsville, Tennessee. You can contact this provider via phone number 6158516033 and fax number 6158512018. The mailing address for Jonathan P. Gordon is 3024 Business Park Cir, Goodlettsville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan P. Gordon
Address 3024 Business Park Cir, Goodlettsville, Tennessee
Phone Number 6158516033
Fax Number 6158512018
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043232879
Provider Enumeration Date 2006-07-24
Last Updated Date 2011-11-30

Provider Mailing Address Detail

Address 3024 Business Park Cir
City Goodlettsville
State Tennessee (TN)
Post Code 370723132
Phone Number 6158516033
Fax Number 6158512018

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 42009
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1509267 TN --
3000164 TN --
4200807 TN BCBS TN
1509267 TN MEDICAID - MTI
7100021820 KY --
4155495 TN BCBS
30001642 TN --
4155683 TN BCBS
4291546 TN BCBS - MTI

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FAQs about Jonathan P. Gordon

What is the unique identifier code issued to Jonathan P. Gordon by the Centers for Medicare & Medicaid Services (CMS)?

The Jonathan P. Gordon has been assigned the NPI (National Provider Identifier) 1043232879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jonathan P. Gordon is physically located?

The Jonathan P. Gordon is physically situated at the following address: 3024 Business Park Cir, Goodlettsville, TN, 370723132.

What is Jonathan P. Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jonathan P. Gordon's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When was the Jonathan P. Gordon's 1043232879 issued?

The Jonathan P. Gordon's 1043232879 was issued on 2006-07-24.

When was the information pertaining to Jonathan P. Gordon most recently updated or revised?

The details related to Jonathan P. Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-30.

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