Angellica O Gordon, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

433 Bolivar St Apt B
New Orleans, LA 70112-7021

Phone

(810) 618-3034

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1013572981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 MAGAZINE ST",
            "address_2": "APT B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304238",
            "telephone_number": "810-618-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BOLIVAR ST APT B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701127021",
            "telephone_number": "810-618-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Perdido St Apt A72",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121378",
            "country_code": "US",
            "telephone_number": "810-618-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANGELLICA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Goodwin, CRNA
• Marcus Willie Lee Goodwin
• Mary Patricia Gootee, FNP-BC
• Jay Vybhav Gopal, MD
• Brittany Marie Gorden, PHARMD
• Bernadine T Gordon
• Carl A Gordon, RPH
• Delisa Gordon
• Gabrielle Gordon, RPH
• Jacqueline Gordon, BS

• Student in an Organized Health Care Education/Training Program in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.