NPIMap

Individual provider Active NPI

Laurence Gordon, MD

  • Family Medicine Physician
  • South Hamilton, MA
National Provider Identifier
1174574198
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253782 Issued in MA
Practice address
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone
(978) 468-7381
Fax
(978) 468-6020
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253782 MA Primary

Addresses

Primary practice location

15 Railroad Ave
South Hamilton, MA 01982-2218

Mailing address

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

Other identifiers 1

IdentifierTypeStateIssuer
200246920MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000015 MA Practitioner - Family Practice 0840281457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

2 Essex Ctr Dr
Peabody, MA 01960-2902
Phone (978) 977-4000

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Beth Israel Lahey Health at Home Hospice, Danvers, MA, CCN 221541
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince May 1, 2020 Accepting new patients
Atrius Health, Inc. CurrentSince Feb 23, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Feb 23, 2023 Accepting new patients
Atrius Health, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • Direct secure messaging: lgordonmd366236@direct.atrius.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1174574198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RAILROAD AVE",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822218",
            "telephone_number": "978-468-7381",
            "fax_number": "978-468-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAILROAD AVE",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822218",
            "telephone_number": "978-468-7381",
            "fax_number": "978-468-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "253782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.