Active NPI
Richard Gordon
- Obstetrics & Gynecology Physician
- Allentown, PA
National Provider Identifier
1255598389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD021046E
- Practice address
- 2200 W Hamilton St
Suite 200
Allentown, PA 18104-6337 - Phone
- (610) 782-0573
- Fax
- (610) 782-0574
- NPI assigned
- May 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD021046E | PA | Primary |
Addresses
Primary practice location
2200 W Hamilton St
Suite 200
Allentown, PA 18104-6337
Mailing address
1 Alpha Ave
Suite 20
Voorhees, NJ 08043-1049
Phone (856) 616-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021046E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allentown Medical Serices | Obstetrics & Gynecology | Past | Accepting new patients |
| Rose Health Services Company | Obstetrics & Gynecology | Past | Accepting new patients |
| Choices Women's Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Allentown, PA
- NPI 1679728232
-
- Obstetrics & Gynecology Physician
- Allentown, PA
- NPI 1790003465
-
- Ambulatory Surgical Clinic/Center
- Jamaica, NY
- NPI 1194832949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1255598389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALPHA AVE",
"address_2": "SUITE 20",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431049",
"telephone_number": "856-616-8836",
"fax_number": "856-427-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W HAMILTON ST",
"address_2": "SUITE 200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046337",
"telephone_number": "610-782-0573",
"fax_number": "610-782-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD021046E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.