Individual provider Active NPI

David W Gordon, PA

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1013948504
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1949 Issued in AZ
Practice address
4001 E Sunrise Dr Ste 121
Tucson, AZ 85718-4324
Phone
(520) 209-7000
Fax
(520) 209-7010
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1949 AZ Primary

Addresses

Primary practice location

4001 E Sunrise Dr Ste 121
Tucson, AZ 85718-4324

Mailing address

4001 E Sunrise Dr Ste 121
Tucson, AZ 85718-4324
Phone (520) 209-7000

Other identifiers 1

IdentifierTypeStateIssuer
393843OtherAZSTATE AHCCCS NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.gordon@northwestmedicalcenter.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swea, P.C. Past Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.gordon@northwestmedicalcenter.cernerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1013948504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184324",
            "telephone_number": "520-209-7000",
            "fax_number": "520-209-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184324",
            "telephone_number": "520-209-7000",
            "fax_number": "520-209-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AHCCCS NUMBER",
            "identifier": "393843",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.gordon@northwestmedicalcenter.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4001 E Sunrise Dr Ste 121",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857184324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.