Active NPI
Christopher James Gordon
- Surgical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C08507
- Practice address
- 301 Saint Paul St
Baltimore, MD 21202-2165 - Phone
- (410) 332-9717
- NPI assigned
- Oct 9, 2021
- Last updated
- Aug 4, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C08507 | MD | Primary |
Addresses
Primary practice location
301 Saint Paul St
Baltimore, MD 21202-2165
Mailing address
50 Rochester PL Apt 22
Hagerstown, MD 21740-5547
Phone (302) 593-6491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C08507 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Surgical | Past | Accepting new patients |
Locations
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
Interoperability endpoints
- cgordon1026062@direct.umm.edu
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Glen Burnie, MD
- NPI 1306131578
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1831471234
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Surgical
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1679235444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROCHESTER PL APT 22",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405547",
"telephone_number": "302-593-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022165",
"telephone_number": "410-332-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-09",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C08507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.