Gordon Heart Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GORDON HEART CLINIC PC

Practice address

5200 Park Ave
Suite 102
Memphis, TN 38119-3500

Phone

(901) 333-0330

Fax

(901) 333-0337

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Gordon

Title

Administrator

Phone

(901) 333-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisa Kay Austin, ACNP

  • Acute Care Nurse Practitioner
  • Germantown, TN
  • NPI 1528207594
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1225019334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193500",
            "telephone_number": "901-333-0330",
            "fax_number": "901-333-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193500",
            "telephone_number": "901-333-0330",
            "fax_number": "901-333-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON HEART CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-333-0330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwillhomescommunityservices, Inc.
• Autumn Joi Goodwin-Samson, M.D.
• Salil Goorha, M.D.
• Kunj Arun Gor, MBBS
• Vijaya Kumar Gorantla, M.D
• Jason L Gordon, MPH, RDN, LDN, CHES
• Jerlena T. Gordon, APRN-BC
• Lawrence W Gordon, M.D.
• Leslie R Gordon, D.D.S.
• Steven Gordon, DPT

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.