Active NPI
General Surgical Associates PC
- Specialist
- Marshall, MI
National Provider Identifier
1679502009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301067751
- Legal business name
- GENERAL SURGICAL ASSOCIATES PC
- Practice address
- 215 E Mansion St
Suite 3E
Marshall, MI 49068-1559 - Phone
- (269) 781-4267
- Fax
- (269) 781-2710
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew J Gordon, MD
- Title
- President
- Phone
- (269) 781-4267
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301067751 | MI | Primary |
Addresses
Primary practice location
215 E Mansion St
Suite 3E
Marshall, MI 49068-1559
Mailing address
215 E Mansion St
Suite 3E
Marshall, MI 49068-1559
Phone (269) 781-4267
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A310990 | Other | MI | BCBSM |
| G5056F | Other | MI | BCN |
| 383530765005 | Other | MI | TRICARE |
| CH0788 | Other | MI | RAILROAD MEDICARE |
| 020A312720 | Other | MI | BCBSM GROUP ID |
National Provider Directory
National Provider DirectoryLocations
391 S Shore Dr
Ste 111B
Battle Creek, MI 49014
Phone (269) 781-4267
215 E Mansion St
Ste 1B
Marshall, MI 49068
Phone (616) 781-4267
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8ce5d363-ea3e-4f6f-a99f-e6d83ae8306f/
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Gregory, MI
- NPI 1194975128
-
- Specialist
- Marshall, MI
- NPI 1750325775
-
- Surgery Physician
- Clinton Township, MI
- NPI 1083775407
-
- Surgical Critical Care Physician
- Atlanta, GA
- NPI 1043291826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1679502009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 3E",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-781-4267",
"fax_number": "269-781-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 3E",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-781-4267",
"fax_number": "269-781-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL SURGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-781-4267",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301067751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "020A310990",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "G5056F",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "383530765005",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH0788",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP ID",
"identifier": "020A312720",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.