Michael H Gordon MD PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MICHAEL H GORDON MD PA

Practice address

2001 NE 48TH CT
Ft Lauderdale, FL 33308-4512

Phone

(954) 772-0115

Fax

(954) 772-1216

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Michael H Gordon, M.D.

Title

Owner

Phone

(954) 772-0115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1114221223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-772-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-772-0115",
            "fax_number": "954-772-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H GORDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-772-0115",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.