Active NPI
Ian David Gordon, MD
- Orthopaedic Surgery of the Spine Physician
- Alexandria, VA
National Provider Identifier
1104876853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 0101044678
- Practice address
- 8109 Hinson Farm Rd
Suite 501
Alexandria, VA 22306-3415 - Phone
- (703) 780-3223
- Fax
- (703) 780-9408
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 0101044678 | VA | Primary |
Addresses
Primary practice location
8109 Hinson Farm Rd
Suite 501
Alexandria, VA 22306-3415
Mailing address
8109 Hinson Farm Rd
Suite 501
Alexandria, VA 22306-3415
Phone (703) 780-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1104876853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 HINSON FARM RD",
"address_2": "SUITE 501",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063415",
"telephone_number": "703-780-3223",
"fax_number": "703-780-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 HINSON FARM RD",
"address_2": "SUITE 501",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063415",
"telephone_number": "703-780-3223",
"fax_number": "703-780-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "IAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "VA",
"license": "0101044678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.