Jose Jorge Gordinho, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

16005 Issued in WV

Practice address

2962 Robert C. Byrd Drive
Beckley, WV 25801

Phone

(304) 254-9022

Fax

(304) 254-9024

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Associates of Glen Daniel

  • Rural Health Clinic/Center
  • Glen Daniel, WV
  • NPI 1801815733
  NPD (past) Authorized official
• Riverview Medical Care

  • Primary Care Clinic/Center
  • Hinton, WV
  • NPI 1679916548
  NPD (past) Authorized official
• Medical Associates of Glen Daniel

  • Clinic/Center
  • Glen Daniel, WV
  • NPI 1548454986
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1124089016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 ROBERT C. BYRD DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-254-9022",
            "fax_number": "304-254-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 ROBERT C. BYRD DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-254-9022",
            "fax_number": "304-254-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDINHO",
        "first_name": "JOSE",
        "middle_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "16005",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101043986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000553723",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "513901",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005807000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "282397",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072202000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dreama Good
• Rebecca Good
• Cara Joy Goode, PHARMD
• Jessica Goodson
• Darlene Goodwin
• Aaron R Gordon, CRNA
• Henry P Gosiene, MD
• Stephenie Gosnell
• Kenneth Wayne Gowman
• Anna Graham

• Nephrology Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Nephrology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.