Stuart Jay Gordon, M.D

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0041763 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 325
Pikesville, MD 21208-6391

Phone

(443) 352-3849

Fax

(443) 660-8257

NPI assigned

Jun 22, 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 MD

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

Orthopedic Surgery

Education

University of Maryland School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Stuart J Gordon, MD, PA

  • Orthopaedic Surgery Physician
  • Timonium, MD
  • NPI 1447438551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1164428306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 325",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "443-352-3849",
            "fax_number": "443-660-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 325",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "443-352-3849",
            "fax_number": "443-660-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STUART",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0041763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KX69FR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal S Goodman, LCPC
• James Gregory Gordon, DDS
• Melissa Heather Gordon, MS OTRL
• Nikkia Gordon
• Nyshay Sarah Courtney Gordon
• Andrea Nadine Goulbourne
• Virginia Mae Gower, LCSW-C
• Caitlin Nicole Grace
• Graceway Health Care LLC
• Kim Nickole Grady

• Orthopaedic Surgery Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.