Active NPI
James Gordon, MD, FRCPC, PLLC
- Neurology Physician
- Seattle, WA
National Provider Identifier
1205871241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 33598
- Practice address
- 1536 N 115TH St
Suite 330
Seattle, WA 98133-8400 - Phone
- (206) 365-0111
- Fax
- (206) 365-2980
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | 33598 | WA | |
| Neurology Physician | 2084N0400X | 33598 | WA | Primary |
Addresses
Primary practice location
1536 N 115TH St
Suite 330
Seattle, WA 98133-8400
Mailing address
1536 N 115TH St
Suite 330
Seattle, WA 98133-8400
Phone (206) 365-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097641 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33598 | WA | MD | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1205871241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 N 115TH ST",
"address_2": "SUITE 330",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338400",
"telephone_number": "206-365-0111",
"fax_number": "206-365-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N 115TH ST",
"address_2": "SUITE 330",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338400",
"telephone_number": "206-365-0111",
"fax_number": "206-365-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JAMES",
"credential": "MD, FRCPC, PLLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "WA",
"license": "33598",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "33598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1097641",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.