Marilyn B Gordon, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

81230 Issued in MA

Legal business name

MARILYN B GORDON, MD PC

Practice address

107A County Rd
North Falmouth, MA 02556-2019

Phone

(508) 564-5522

Fax

(508) 564-5544

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Marilyn B Gordon, MD

Title

Owner

Phone

(508) 564-5522

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1154541803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107A COUNTY RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-5522",
            "fax_number": "508-564-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107A COUNTY RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-5522",
            "fax_number": "508-564-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN B GORDON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-564-5522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81230",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "81230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KT Counseling LLC
• Michael T. Leahy, M.D.
• Kerri Liska
• Mark A Liska, M.D.
• Dennis Lyons
• Megansett Nursing and Rehab LLC
• Farrah Monahan
• Kathleen M Moniz, PT
• Robert R Moore, MD
• Lori M Murphy, LEP

• Internal Medicine Physician in North Falmouth, MA
• Providers in North Falmouth, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.