Michael A Gordon in Sanford - Vascular Surgery
Michael A Gordon - NPI 1902885908
Michael A Gordon is a Vascular Surgery in Sanford, North Carolina. Michael A Gordon practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Michael A Gordon is 1902885908. The last update date is 2022-07-21.
Michael A Gordon's current location address is 117 Dennis Drive, Sanford, North Carolina. You can contact this provider via phone number 9197742220. The mailing address for Michael A Gordon is 117 Dennis Drive, Sanford, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Gordon |
|---|---|
| Address | 117 Dennis Drive, Sanford, North Carolina |
| Phone Number | 9197742220 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902885908 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 117 Dennis Drive |
|---|---|
| City | Sanford |
| State | North Carolina (NC) |
| Post Code | 27330 |
| Phone Number | 9197742220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 13991 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0170C | BCBS | ||
| 8936308 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael A Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Michael A Gordon has been assigned the NPI (National Provider Identifier) 1902885908. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michael A Gordon?
The Michael A Gordon is physically situated at 117 Dennis Drive, in the city of Sanford, state of NC, with the postal code 27330.
What is Michael A Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael A Gordon is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date was the 1902885908 assigned to Michael A Gordon?
The Michael A Gordon was issued its 1902885908 on 2006-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michael A Gordon's details last updated?
The information pertaining to the Michael A Gordon, including its address, specialty, and other details, was most recently updated on 2022-07-21.