Active NPI
Arthur Erwin Gordon, MD
- Gynecology Physician
- Phila, PA
National Provider Identifier
1063496636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD 025617L
- Practice address
- 9331 Old Bustleton Ave
Suite 203
Phila, PA 19115-4634 - Phone
- (215) 602-8900
- Fax
- (215) 602-8904
- NPI assigned
- Dec 6, 2005
- 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 | MD 025617L | PA | Primary |
Addresses
Primary practice location
9331 Old Bustleton Ave
Suite 203
Phila, PA 19115-4634
Mailing address
PO Box 820933
Phila, PA 19182-0933
Phone (215) 926-9010
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1075777 | Other | PA | KMHP |
| 0052699000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 160058909 | Other | PA | RR MEDICARE |
| 001688938 | Medicaid | PA | |
| 30038145 | Other | PA | KMHP |
| 0168893802 | Other | PA | AMERICHOICE |
| 2Y6155 | Other | PA | HEALTH NET |
| 5062 | Other | PA | BRAVO HEALTH |
| 0002101 | Other | PA | AETNA HMO |
| 4556714 | Other | PA | AETNA PPO |
| 0168893801 | Other | PA | AMERICHOICE |
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 |
|---|---|---|---|
| MD 025617L | PA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physician Inc. | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients |
Interoperability endpoints
- arthur.gordon@direct.einstein.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1063496636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-926-9010",
"fax_number": "215-226-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9331 OLD BUSTLETON AVE",
"address_2": "SUITE 203",
"city": "PHILA",
"state": "PA",
"postal_code": "191154634",
"telephone_number": "215-602-8900",
"fax_number": "215-602-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ARTHUR",
"middle_name": "ERWIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "MD 025617L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "1075777",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0052699000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "160058909",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001688938",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "30038145",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0168893802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Y6155",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "5062",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0002101",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4556714",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0168893801",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.