Richard E Gordon Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35048094G Issued in OH

Practice address

2701 Moorefield Rd
Springfield, OH 45502-8207

Phone

(937) 399-6650

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Ohio, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Associates of Springfield LLCGroup PAC ID 8820088149, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hope Home Care LLC Home health agency, Miamisburg, OH, CCN 368444
• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Practice Associates of Springfield LLC

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1265492839

  Family Medicine, OH

  Medicare reassignment Care Compare group NPD Authorized official

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

• Community Mercy Health Partners

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402

  Hospital

  Care Compare affiliation
• Community Mercy Health Partners

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Hope Home Care, LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1902170764
  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1154313609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MOOREFIELD RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028207",
            "telephone_number": "937-399-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MOOREFIELD RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028207",
            "telephone_number": "937-399-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35048094G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Maria Gonzales Pow Sang, LISW-S
• Good Shepherd Village LLC
• Lisa Good
• Dana Goodfellow
• Casey Lynn Goodridge
• Tianna Jean Gordon
• Kristina Gosney, QMHS
• Melanie Gossard, MSN, FNP-C
• Grace Adult Programming LLC
• Grand Lake Podiatry Inc

• All providers in Springfield, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.