Gordon Marsa, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD012964 Issued in TN

Practice address

1406 Tusculum Blvd Ste 1200
Greeneville, TN 37745-4341

Phone

(423) 302-6565

Fax

(423) 952-2175

NPI assigned

Jun 8, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Takoma Hospital & Sanitarium Training School, Inc.

  • Psychiatric Hospital Unit
  • Greeneville, TN
  • NPI 1811915838
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1477593218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD STE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454341",
            "telephone_number": "423-302-6565",
            "fax_number": "423-952-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Vann Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-278-1703",
            "fax_number": "423-278-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSA",
        "first_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD012964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30119111",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Mahler, FNP-C
• Rhonda Malina, APN
• Mason Manship, PHARMD
• Melissa Lee Marcou, BS
• Philip A Marino Jr., MD
• Marshall Lane
• Jackson Marshall, AUD
• Miriah Elizabeth Martin
• Aurora T. Marty, MD
• Walter Lawrence Mason, M.D.

• Gastroenterology Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.