Gordon Matthew Duffy II, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6330 Chicago Ave
Pensacola, FL 32526-1314

Phone

(850) 776-8976

NPI assigned

May 3, 2018

Last updated

May 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1689163701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 CHICAGO AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261314",
            "telephone_number": "850-776-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 CHICAGO AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261314",
            "telephone_number": "850-776-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "GORDON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tansley Ducote
• Ann E Duerr, MD
• Jennifer Anne Duerr, RD, LD, CDE
• Tanya Duffey-Warner, ARNP
• Madeleine Duffourc, APRN, FNP-C
• John F. Duffy, PH.D.
• Deanna J Dugan, M.S., CCC-SLP
• Mitchell Gerard Dugas, MD
• Amy Dugger, ARNP
• Jairan Lois Duke Elmore, DO

• Athletic Trainer in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.