Marvin Ralph Gordon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-032073-E Issued in PA

Practice address

4740 Dickinson Way
Doylestown, PA 18902-6522

Phone

(215) 794-2528

Fax

(267) 544-0105

NPI assigned

Jun 22, 2006

Last updated

Mar 4, 2013By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1043256340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 DICKINSON WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026522",
            "telephone_number": "215-794-2528",
            "fax_number": "267-544-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 DICKINSON WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026522",
            "telephone_number": "215-794-2528",
            "fax_number": "267-544-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARVIN",
        "middle_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-032073-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049356",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ivy Golebiowski, AAM BOARD CERTIFIED
• Madeline Jane Goodman, LPC
• Goodventures, Inc. Dba Always Best Care Senior Services Upper Buxmont
• Melinda Ann Goodwin, LCSW, CSAC
• Margaret Gordon
• Melissa Gordon
• Rebecca Gordon
• Arthur Nathan Gorham, D.O.
• Curt Allen Gottlieb, OD
• Robert J. Grabowski, D.O.

• Internal Medicine Physician in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.