Christina Gordon, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

TP562 Issued in KY

Practice address

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Phone

(877) 783-6257

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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.

• Outer Banks Professional Services, LLC

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357
  Medicare reassignment Care Compare group NPD NC
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD Emergency Medicine, KY
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD NC
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316
  NPD (past) Emergency Medicine

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

• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253
  Care Compare affiliation Hospital

Specialty

Emergency Medicine

Education

University of Louisville School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outer Banks Professional Services, LLC 163 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in KY, NC2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2016.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1083642995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950112",
            "telephone_number": "888-400-8870",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012503",
            "telephone_number": "877-783-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200832190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64120363",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Amber Godson, M.S. CCC-SLP
• Taresa Lynn Goldsmith
• Lacy Goldstein, PA-C
• Good Shepherd Institute of the Bluegrass
• Jason Edward Goodman, M.D,
• Katelyn Gosnell
• Kenneth Gossett
• Gould'S Discount Medical LLC
• Brian Grace, MD
• Karlee Grace, DO

• All providers in Elizabethtown, KY
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.
• 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.