Daniel S Gordon, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9700972 Issued in NC

Practice address

3628 Cape Center Dr
Fayetteville, NC 28304-4406

Phone

(910) 483-1321

Fax

(910) 323-3521

NPI assigned

May 25, 2006

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Patriotmed of North Carolina, P.C.

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1407668908
  Medicare reassignment
• Carolina Imaging LLC of Fayetteville

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1669430971
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Mallard Creek

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Laurinburg

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Conlan Circle

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Hamptons Park

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Copperfield

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Village Point

  • Diagnostic Radiology Physician
  • Clemmons, NC
  • NPI 1457146060
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Caldwell

  • Diagnostic Radiology Physician
  • Belmont, NC
  • NPI 1578358180
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Shelby

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1629863261
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Welton

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1649065285
  NPD
• Novant Health Enterprises Imaging, LLC

  dba Novant Health Imaging Park Center

  • Diagnostic Radiology Physician
  • Matthews, NC
  • NPI 1851186480
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1275589012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD",
            "address_2": "STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055462",
            "telephone_number": "678-992-7373",
            "fax_number": "678-992-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044406",
            "telephone_number": "910-483-1321",
            "fax_number": "910-323-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9700972",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "30402",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101057637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Andrea Goodson, LPN
• Wanda Goodwyn, PHD
• Aaron H Gootman, MD
• Prathima Gopinath, MD
• Austin Gordon
• Kristina Gordon, LCMHC
• Lakshmi Vadlamudi Gordon, MD
• Lamora Gordon, NP
• Michael Jay Gordon Sr., DDS
• Miranda Gordon

• Diagnostic Radiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.