James D. Gordon, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

28386 Issued in AZ

Practice address

1775 W Saint Marys Rd
Suite 211
Tucson, AZ 85745-2696

Phone

(520) 792-2170

Fax

(520) 792-9702

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Iowa, RJ & L Carver College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brian G Lee MD PLLCGroup PAC ID 4082914247, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian G Lee MD PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1811365703
  Medicare reassignment Care Compare group
• Secure Anesthesia PLLC

  • Specialist
  • Tempe, AZ
  • NPI 1720113145
  NPD (past)
• Valley ENT, PC

  • Otolaryngology Physician
  • Tucson, AZ
  • NPI 1770852600
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1255388500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 211",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2170",
            "fax_number": "520-792-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 211",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2170",
            "fax_number": "520-792-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMES",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "28386",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AZ",
            "license": "28386",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "28386",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "28386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526634",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Goral, FNP-C
• Shannon Lauren Goral, RDN, CDCES
• Gordon K. Roediger, D.D.S., Eastside, P.C. (Acacia Family Dental Group)
• Gordon K. Roediger, D.D.S., P.C. (Desert Dental Arts)
• David W Gordon, PA
• Kathleen Gordon, LCSW
• Lia Kay Gordon, FNP
• Lisa Gordon, MS
• Michael R Gordon II
• Paul R Gordon, MD

• Otolaryngology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.