Active NPI
Marcus T Gordon, M.D.
- Gynecology Physician
- Lynn, MA
National Provider Identifier
1013925569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 82013
- Practice address
- North Shore Women's Center
480 Lynnfield St. 2ND Floor
Lynn, MA 01904 - Phone
- (781) 595-4800
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 82013 | MA | Primary |
Addresses
Primary practice location
North Shore Women's Center
480 Lynnfield St. 2ND Floor
Lynn, MA 01904
Mailing address
North Shore Women's Center
480 Lynnfield St. 2ND Floor
Lynn, MA 01904
Phone (781) 595-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82013 | MA | MD | Gynecology Physician |
Interoperability endpoints
- marcus.gordon.1@1344.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Attleboro, MA
- NPI 1659581692
-
- Gynecology Physician
- Attleboro, MA
- NPI 1851500979
-
- Medical Specialty Clinic/Center
- Lynn, MA
- NPI 1063629319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013925569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTH SHORE WOMEN'S CENTER",
"address_2": "480 LYNNFIELD ST. 2ND FLOOR",
"city": "LYNN",
"state": "MA",
"postal_code": "01904",
"telephone_number": "781-595-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH SHORE WOMEN'S CENTER",
"address_2": "480 LYNNFIELD ST. 2ND FLOOR",
"city": "LYNN",
"state": "MA",
"postal_code": "01904",
"telephone_number": "781-595-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARCUS",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "82013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.