Individual provider Active NPI

Grant Thomas Gordon, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1447770003
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
007747 Issued in AZ
Practice address
9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone
(480) 614-2000
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS18395 FL
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X OS18395 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 007747 AZ
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X OS18395 FL
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 007747 AZ Primary

Addresses

Primary practice location

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425

Mailing address

160 W Tyler St Unit 671
Tampa, FL 33602-3956
Phone (574) 276-6786

Other practice location 1

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

Other practice location 2

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 974-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220419001064 FL Practitioner - Internal Medicine 8729475991 Reassigns benefits to 1 organization
I20250611001960 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8729475991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
007747AZMDCritical Care Medicine (Internal Medicine) Physician
OS18395FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pulmonary Specialists LTD Multi-Specialty CurrentSince Jul 15, 2025 Accepting new patients
Eastside Hospitalists Inc Multi-Specialty CurrentSince Jan 14, 2022 Accepting new patients

Locations

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1447770003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W TYLER ST UNIT 671",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023956",
            "telephone_number": "574-276-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585425",
            "telephone_number": "480-614-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "954-987-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GRANT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS18395",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS18395",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "007747",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS18395",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "007747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.