Cindy Gordon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

206677 Issued in NY

Practice address

5 Evergreen Street
Dryden, NY 13053

Phone

(607) 844-5251

Fax

(607) 844-4288

NPI assigned

May 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538115449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVERGREEN STREET",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "13053",
            "telephone_number": "607-844-5251",
            "fax_number": "607-844-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CINDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dryden Optometry P.C.
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• Finger Lakes Chiropractic & Massage Therapy, PLLC (Finger Lakes Spine & Body Works)
• Catherine Ann Ford, M.S. CCC/SLP
• Hannah Gallagher
• Cecilia Hagen-Revelins, R.D.N, C.D.N
• Mary Hicks
• Mikaela Hinterberger, L.M.T.
• Nancy Holmes, LPN
• Mary F Howson, M.D.

• Family Medicine Physician in Dryden, NY
• Providers in Dryden, NY by specialty
• Family Medicine Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.