Individual provider Active NPI

Harry F Gordon, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1063456663
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME56591 Issued in FL
Practice address
1601 Park Center Dr
Suites 3,4,5
Orlando, FL 32835-5700
Phone
(407) 351-3673
Fax
(407) 226-2898
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME56591 FL Primary

Addresses

Primary practice location

1601 Park Center Dr
Suites 3,4,5
Orlando, FL 32835-5700

Mailing address

2600 Westhall Lane
Box 300
Maitland, FL 32751
Phone (407) 200-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050517000443 FL Practitioner - Family Practice 0345281606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians

Practice addresses (Care Compare)

2145 Metrocenter Blvd
Suite 130
Orlando, FL 32835-7642
Phone (407) 351-3673

2600 Westhall LN Box
300 Adventhealth Centra Care Corporate Offi
Maitland, FL 32751-7102
Phone (407) 200-1353

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56591FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Systems/Sunbelt, Inc. Family Medicine CurrentSince Jun 24, 2021 Accepting new patients
Harry F Gordon, MD, LLC Family Medicine CurrentSince Jul 5, 2005 Accepting new patients

Locations

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2145 Metrocenter Blvd
Ste 130
Orlando, FL 32835
Phone (407) 351-3673

5979 Vineland Rd
Ste 310
Orlando, FL 32819
Phone (407) 345-0005

1701 Park Center Dr
Ste 200
Orlando, FL 32835
Phone (407) 351-3673

1601 Park Center Dr
#345
Orlando, FL 32835
Phone (407) 351-3673

1601 Park Center Dr
Ste 3
Orlando, FL 32835
Phone (407) 351-3673

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBEBCD/Endpoint/BBEBCD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1063456663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LANE",
            "address_2": "BOX 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-200-2300",
            "fax_number": "407-200-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PARK CENTER DR",
            "address_2": "SUITES 3,4,5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355700",
            "telephone_number": "407-351-3673",
            "fax_number": "407-226-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "HARRY",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.