Active NPI
Deborah Gordon Wachusett Pathologists
- Anatomic Pathology & Clinical Pathology Physician
- Gardner, MA
National Provider Identifier
1144219940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- DEBORAH GORDON WACHUSETT PATHOLOGISTS
- Practice address
- 242 Green St
Gardner, MA 01440-1336 - Phone
- (978) 630-6256
- NPI assigned
- Oct 14, 2005
- Last updated
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Gordon, M.D.
- Title
- President
- Phone
- (978) 630-6256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MA | Primary | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MA |
Addresses
Primary practice location
242 Green St
Gardner, MA 01440-1336
Mailing address
PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Gardner, MA
- NPI 1811986615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1144219940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "AMHERST",
"state": "NH",
"postal_code": "030314200",
"telephone_number": "603-673-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 GREEN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401336",
"telephone_number": "978-630-6256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH GORDON WACHUSETT PATHOLOGISTS",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-630-6256",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.