Richard Steven Gordon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

96910 Issued in FL

Practice address

10957 Northgreen Dr
Wellington, FL 33449-8054

Phone

(561) 642-4878

Fax

(561) 642-4878

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• X-Ray, Inc.

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1417970542

  Diagnostic Radiology

  NPD (past) Authorized official
• Enlighten Radiology of Florida PLLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1437478260
  NPD (past)
• Sheridan Radiology Services of South Florida, Inc

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1437407681
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1003868878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10957 NORTHGREEN DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498054",
            "telephone_number": "561-642-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10957 NORTHGREEN DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498054",
            "telephone_number": "561-642-4878",
            "fax_number": "561-642-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "96910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0752592",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "127593300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341212779007",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300016814",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "341212779020",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000026343",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLK LNG",
            "identifier": "027978400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tahrik Alfance Goombs, PHARM.D,RPH
• Romesh Senani Gooneratne, MD
• Beverly Gordon, DC
• Noah Elizabeth Gordon
• Richard Dennis Gordon, M.D.
• Tiffany Talley Gordon
• Jason John Gorscak, MD
• Joshua Michael Gottsegen, M.D.
• Alia Goucher
• Deanna Goulet, APRN-BC

• Diagnostic Radiology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.