Richard Michael Gordon, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DR.0054748 Issued in CO

Practice address

275 S Main St
Longmont, CO 80501-6462

Phone

(720) 378-6597

Fax

(303) 318-8659

NPI assigned

Apr 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1023073939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805020118",
            "telephone_number": "720-378-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016462",
            "telephone_number": "720-378-6597",
            "fax_number": "303-318-8659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W South Boulder Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262089",
            "country_code": "US",
            "telephone_number": "303-415-4340",
            "fax_number": "303-604-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0054748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Talk Counseling LLC
• Goodcare LLC (Alpine Therapy)
• Alexis M Gordon
• Cynthia Jill Gordon, LPC, ATR-BC
• John-Reid Gordon, PTA
• Laura Jean Goresline
• Patricia Ann Gorman, NP
• Megumi Goto, LPCC
• Isabelle Goulder, LCSW
• Kymbre Sands Governson, FNP-BC

• Physical Medicine & Rehabilitation Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.