Active NPI
Ryan Douglas Gordon, MD
- Vascular Surgery Physician
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101278782
- Practice address
- 7900 Shrader Rd
Henrico, VA 23294-4215 - Phone
- (804) 288-1953
- NPI assigned
- Mar 21, 2017
- Last updated
- Apr 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101278782 | VA | Primary |
Addresses
Primary practice location
7900 Shrader Rd
Henrico, VA 23294-4215
Mailing address
8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (804) 288-1953
Other practice location 1
13460 Tredegar Lake Pkwy
Midlothian, VA 23112-4070
Phone (804) 288-1953
Other practice location 2
267 Medical Park Blvd
Petersburg, VA 23805-9337
Phone (804) 288-1953
Other practice location 3
1396B Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 288-1953
Other practice location 4
8237 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 288-1953
Other practice location 5
6031 Staples Mill Rd
Richmond, VA 23228-4923
Phone (804) 264-8782
Other practice location 6
417 N 11th St
Richmond, VA 23298-5024
Phone (804) 828-9849
Other practice location 7
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Virginia School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8237 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 288-1953
Hospital & facility affiliations
- Bon Secours St Marys Hospital
- Henrico Doctors' Hospital
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Francis Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 21 |
| Leg revascularization (restoring blood flow) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101278782 | VA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Surgery Associates of Richmond, PC | Vascular Surgery | Current | Accepting new patients |
| Vsa Vascular Center LLC | Vascular Surgery | Past | Accepting new patients |
Locations
8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760
7900 Shrader Rd
Henrico, VA 23294
Phone (804) 288-1953
8237 Meadowbridge Rd
Mechanicsville, VA 23116
Phone (804) 288-1953
13460 Tredegar Lake Pkwy
Midlothian, VA 23112
Phone (804) 288-1953
267 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 288-1953
417 Libbie Ave
Richmond, VA 23226
Phone (804) 288-1953
6031 Staples Mill Rd
Richmond, VA 23228
Phone (804) 264-8782
1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHIGCD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Henrico, VA
- NPI 1992763742
-
- Ambulatory Surgical Clinic/Center
- Richmond, VA
- NPI 1477246429
Vascular Surgery
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Regional Medical Center
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
dba Bon Secours Richmond OB-GYN at St. Francis
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1003849381
Hospital
-
dba Bon Secours St. Francis Medical Center
- General Acute Care Hospital
- Midlothian, VA
- NPI 1447212592
-
dba Bon Secours Laboratory Services - Richmond
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
dba Bon Secours Virginia Breast Center
- Surgery Physician
- Midlothian, VA
- NPI 1427293133
Hospital
-
dba Care Diabetes and Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Colonial Heights, VA
- NPI 1518244854
Hospital
-
dba Bon Secours Neurology Clinic
- Neurology Physician
- Chester, VA
- NPI 1811228711
Hospital
-
dba Internal Medicine Associates of Chesterfield
- Internal Medicine Physician
- Midlothian, VA
- NPI 1053698399
Hospital
-
dba Bon Secours St. Francis Family Medicine Center
- Family Medicine Physician
- Midlothian, VA
- NPI 1497788806
Hospital
-
dba Bon Secours Ironbridge Family Practice
- Family Medicine Physician
- Chester, VA
- NPI 1801173141
Hospital
-
dba Powhatan Medical Associates
- Family Medicine Physician
- Powhatan, VA
- NPI 1891071965
Hospital
-
dba St. Joseph's Outreach Clinic
- Family Medicine Physician
- Richmond, VA
- NPI 1225265630
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1265963367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 FOREST LN # 515057",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302472",
"telephone_number": "804-288-1953",
"fax_number": "804-282-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SHRADER RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232944215",
"telephone_number": "804-288-1953"
}
],
"practiceLocations": [
{
"address_1": "13460 Tredegar Lake Pkwy",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231124070",
"country_code": "US",
"telephone_number": "804-288-1953",
"fax_number": "804-282-1046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "VA",
"postal_code": "238059337",
"country_code": "US",
"telephone_number": "804-288-1953",
"fax_number": "804-282-1046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1396B Tappahannock Blvd",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225609309",
"country_code": "US",
"telephone_number": "804-288-1953",
"fax_number": "804-282-1046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8237 Meadowbridge Rd",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231162329",
"country_code": "US",
"telephone_number": "804-288-1953",
"fax_number": "804-282-1046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6031 Staples Mill Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232284923",
"country_code": "US",
"telephone_number": "804-264-8782",
"fax_number": "804-266-9214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985024",
"country_code": "US",
"telephone_number": "804-828-9849",
"fax_number": "804-828-2744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4755 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "RYAN",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101278782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.