Joshua S Gordon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1713 Issued in MD

Practice address

9051 Baltimore National Pike
Ellicott City, MD 21042-3927

Phone

(410) 465-4080

Fax

(410) 461-8650

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Barenburg Optical Service, Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1639179112
  Medicare reassignment Care Compare group NPD
• Barenburg Optical Service, Inc

  • Optometrist
  • Ellicott City, MD
  • NPI 1184462095
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1306877683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677",
            "fax_number": "410-752-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423927",
            "telephone_number": "410-465-4080",
            "fax_number": "410-461-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOSHUA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Anne Goodwin, O. D.
• Emma Goon
• Nikita Samir Goradia, RDN,LDN
• Andres Gordillo, M.S CCC-SLP
• Emma Elizabeth Gordon
• Judy Ellen Gordon, L.M.H.C.
• Margot Gordon
• Richard L. Gorman, M.D.
• Nicole Marie Gosnell, PHD
• Graceway Health Care LLC

• Optometrist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.