Douglas M Gordon in Melbourne - Diagnostic Ultrasound
Douglas M Gordon - NPI 1144397217
Douglas M Gordon is a Diagnostic Ultrasound in Melbourne, Florida. Douglas M Gordon practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Douglas M Gordon is 1144397217. The last update date is 2013-08-05.
Douglas M Gordon's current location address is Po Box 2400, Melbourne, Florida. You can contact this provider via phone number 8667441461 and fax number 7706213181. The mailing address for Douglas M Gordon is Po Box 2400, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas M Gordon |
|---|---|
| Address | Po Box 2400, Melbourne, Florida |
| Phone Number | 8667441461 |
| Fax Number | 7706213181 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144397217 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2013-08-05 |
Provider Mailing Address Detail
| Address | Po Box 2400 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329022400 |
| Phone Number | 8667441461 |
| Fax Number | 7706213181 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Ultrasound |
|---|---|
| Taxonomy | 2085U0001X |
| Licence No | ME64194 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23388 | FL | BCBS | |
| 300048844 | MEDICARE RR | ||
| 23388Z | FL | MEDICARE PTAN | |
| 377261600 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas M Gordon by the Centers for Medicare & Medicaid Services?
The Douglas M Gordon has been issued the NPI (National Provider Identifier) 1144397217. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Douglas M Gordon?
The Douglas M Gordon is situated at Po Box 2400, in the city of Melbourne, state of FL, with the zip code 329022400.
What is Douglas M Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas M Gordon is Diagnostic Ultrasound, and the taxonomy classification code that categorizes this area of expertise is 2085U0001X.
On what date was the 1144397217 assigned to Douglas M Gordon?
The Douglas M Gordon was issued its 1144397217 on 2006-11-30, 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 Douglas M Gordon most recently updated or revised?
The details related to Douglas M Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-05.