George Richard Gordon, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

48127 Issued in CO

Practice address

860 Copper Rd
Copper Mountain Clinic
Copper Mountain, CO 80443

Phone

(970) 968-2330

Fax

(970) 968-6681

NPI assigned

Jan 9, 2006

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1225016249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 COPPER RD",
            "address_2": "COPPER MOUNTAIN CLINIC",
            "city": "COPPER MOUNTAIN",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-968-2330",
            "fax_number": "970-968-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 COPPER RD",
            "address_2": "COPPER MOUNTAIN CLINIC",
            "city": "COPPER MOUNTAIN",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-968-2330",
            "fax_number": "970-968-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "22608",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "48127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080011997",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado (Cmed Copper MTN Ed)
• Erin K Jones, P.T.
• Rehab Colorado, LLC (Avalanche Physical Therapy)

• Emergency Medicine Physician in Copper Mountain, CO
• Providers in Copper Mountain, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.