Vintage Medical Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VINTAGE MEDICAL INC

Practice address

201 Hospital Dr Ste 3
Everett, PA 15537-7019

Phone

(814) 925-2006

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curvin Lee Gordon, PA-C

Title

Administrator

Phone

(814) 925-2006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1346145653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BOHN RD",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155226822",
            "telephone_number": "814-925-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR STE 3",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377019",
            "telephone_number": "814-925-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CURVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-925-2006",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.