Individual provider Active NPI

Pamela G Gordon, MD

  • Internal Medicine Physician
  • Hanson, MA
National Provider Identifier
1669463097
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80237 Issued in MA
Practice address
430 Liberty St
Hanson, MA 02341-1113
Phone
(781) 293-3838
Fax
(781) 293-3639
NPI assigned
Nov 3, 2005
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80237 MA Primary

Addresses

Primary practice location

430 Liberty St
Hanson, MA 02341-1113

Mailing address

430 Liberty St
Hanson, MA 02341-1113
Phone (781) 293-3838

Other identifiers 1

IdentifierTypeStateIssuer
110059450AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050608001018 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9234172347 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000

8 N Main St
Attleboro, MA 02703-2282
Phone (508) 205-4600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manet Community Health Center, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 15, 2015 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Dec 7, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 15, 2015 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Dec 7, 2022 Accepting new patients
Brockton Hospital, Inc. PastSince Feb 14, 2017 Accepting new patients
Alamo City Medical Group, PLLC Past Accepting new patients
Riverwalk Clinic, LLC Past Accepting new patients
Manet Community Health Center, Inc. Past Accepting new patients

Locations

8 N Main St
Attleboro, MA 02703
Phone (508) 205-4600

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

573 Worcester Rd
#2
Framingham, MA 01701
Phone (508) 202-4161

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169
Phone (617) 376-3000

700 Congress St
Quincy, MA 02169
Phone (617) 471-1555

9 Bicknell St
Quincy, MA 02169
Phone (617) 376-3000

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pamela.gordon.1@4368.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1669463097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 LIBERTY ST",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411113",
            "telephone_number": "781-293-3838",
            "fax_number": "781-293-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LIBERTY ST",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411113",
            "telephone_number": "781-293-3838",
            "fax_number": "781-293-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PAMELA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110059450A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanson, MA

Sources for this page

Verify at the official NPI Registry.