Fallon T Gordon MD PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

FALLON T GORDON MD PA

Practice address

810 Hospital Drive
#370
Beaumont, TX 77701-4657

Phone

(409) 835-0761

Fax

(409) 892-4834

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fallon Turley Gordon Sr., MD

Title

President

Phone

(409) 835-0761

Specialties & licenses 1

Addresses

Other names 1

• Cardiovascular & Thoracic Surgical Asso Other name

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1205913092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 LITTLEWOOD DRIVE",
            "address_2": "FALLON T GORDON MD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-892-5992",
            "fax_number": "409-892-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DRIVE",
            "address_2": "#370",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014657",
            "telephone_number": "409-835-0761",
            "fax_number": "409-892-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON T GORDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "TURLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-835-0761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular & Thoracic Surgical Asso",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Desire Ebot Eyong, PHARM.D
• Ezea D. Ede MD (Ochendu Medical Clinic PA)
• Elias N Ezike, MD
• Mobolanle A. Fagbemi, APRN. FNP-C, CPNP-PC
• Elizabeth Fair
• Dean Fam, M.D.
• Family and Friends Care Center
• Family Home Healthcare
• Family Services of Southeast Texas
• Family Services of Southeast Texas Inc

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.