Edward S. Gordon Dpm Pc in Warren - Podiatrist
Edward S. Gordon Dpm Pc - NPI 1033118658
Edward S. Gordon Dpm Pc is a Podiatrist in Warren, Michigan. Edward S. Gordon Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edward S. Gordon Dpm Pc is 1033118658. The last update date is 2020-08-22.
Edward S. Gordon Dpm Pc's current location address is 25656 Schoenherr Road, Warren, Michigan. You can contact this provider via phone number 5867794820 and fax number 5867799535. The mailing address for Edward S. Gordon Dpm Pc is 25656 Schoenherr Road, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward S. Gordon Dpm Pc |
|---|---|
| Address | 25656 Schoenherr Road, Warren, Michigan |
| Phone Number | 5867794820 |
| Fax Number | 5867799535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordon Serge Edward |
| Credentials | DPM |
| Telephone Number | 5867794820 |
NPI Number Detail
| NPI Number | 1033118658 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 25656 Schoenherr Road |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480891447 |
| Phone Number | 5867794820 |
| Fax Number | 5867799535 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | EG0000597 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1198703 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward S. Gordon Dpm Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Edward S. Gordon Dpm Pc has been assigned the NPI (National Provider Identifier) 1033118658. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Edward S. Gordon Dpm Pc's facilities are situated?
The facilities of Edward S. Gordon Dpm Pc are physically located at the following address: 25656 Schoenherr Road, Warren, MI, 480891447.
What is Edward S. Gordon Dpm Pc's area of expertise and its corresponding taxonomy classification?
The Edward S. Gordon Dpm Pc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did the Edward S. Gordon Dpm Pc receive its 1033118658?
The Edward S. Gordon Dpm Pc was issued its 1033118658 on 2005-07-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Edward S. Gordon Dpm Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward S. Gordon Dpm Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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