Timothy L Gordon MD Orthopedics PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

TIMOTHY L GORDON MD ORTHOPEDICS PA

Doing business as

TOMOTHY L GORDON MD ORTHOPEDICS PA

Practice address

34950 Chardon Rd
Suite 104
Willoughby, OH 44094-9162

Phone

(440) 954-3225

Fax

(440) 954-3226

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Livingston Gordon, MD

Title

President

Phone

(440) 954-3225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOMOTHY L GORDON MD ORTHOPEDICS PA Doing business as

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1245400332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 104",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-954-3225",
            "fax_number": "440-954-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 104",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-954-3225",
            "fax_number": "440-954-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L GORDON MD ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LIVINGSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-954-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0839221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOMOTHY L GORDON MD ORTHOPEDICS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari Thompson, MA/CCC-SLP
• Savannah Rayne Thorne, CDCA
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• Crystal M Thurmond
• Marisa Tibaldi
• Donna B Tobin, LISW
• Patricia A. Todt, PA-C
• Kaylee Anne Tomasek
• Paul Anthony Tonti
• Joye E Toombs, LSW

• Orthopaedic Surgery Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.