Active NPI
Teresa Beth Gordon, CRNA
- Certified Registered Nurse Anesthetist
- Canonsburg, PA
National Provider Identifier
1598840324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN293619L
- Practice address
- 100 Medical Blvd
Canonsburg, PA 15317-9762 - Phone
- (412) 359-6581
- Fax
- (412) 359-3483
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN293619L | PA | Primary |
Addresses
Primary practice location
100 Medical Blvd
Canonsburg, PA 15317-9762
Mailing address
100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (412) 359-6581
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgordon10861@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clair Anesthesiology Associates Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Interoperability endpoints
- tgordon10861@direct.ahn.org
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1154380384
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1598840324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762",
"telephone_number": "412-359-6581",
"fax_number": "412-359-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762",
"telephone_number": "412-359-6581",
"fax_number": "412-359-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "TERESA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN293619L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgordon10861@direct.ahn.org",
"affiliation": "N",
"address_1": "100 Medical Blvd",
"city": "Canonsburg",
"state": "PA",
"country_code": "US",
"postal_code": "153179762",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.