David H Gordon, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

E9664 Issued in TX

Practice address

540 Madison Oak Dr
Suite#200
San Antonio, TX 78258-3943

Phone

(210) 545-6972

Fax

(210) 545-1016

NPI assigned

Jul 21, 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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cancer Care Network of South Texas PA

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1225064603
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427079243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE#200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-545-6972",
            "fax_number": "210-545-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE#200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-545-6972",
            "fax_number": "210-545-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "E9664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4273192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "924685",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129531303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830041663",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF",
            "identifier": "83Z201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Quinn Gorden, RDH, BS, MA
• Adam J Gordon, LMSW
• Amanda Gordon, MSN, APRN, FNP-C
• Amy Lee Gordon, CPHT
• Audrey Nicole Gordon, LPC. LCDC
• Gregory D Gordon Jr., MD
• Hillary Luker Gordon, M.S., CCC-SLP
• Jayne Gordon, PH.D.
• Joi Gordon, LPC
• Latrina L Gordon

• Hematology & Oncology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.