Robert H Gordon, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD021343E Issued in PA

Practice address

1425 Horsham Rd
North Wales, PA 19454-1320

Phone

(215) 371-3682

Fax

(215) 371-3039

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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.

• VRL Medical Practice PLLC

  • Internal Medicine Physician
  • North Wales, PA
  • NPI 1972105401
  NPD
• 1425 Horsham SNF Operations LLC

  • Skilled Nursing Facility
  • North Wales, PA
  • NPI 1932727591
  NPD (past)
• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1710901673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HORSHAM ROAD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541320",
            "telephone_number": "215-371-3682",
            "fax_number": "215-371-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541320",
            "telephone_number": "215-371-3682",
            "fax_number": "215-371-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "02134E",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD021343E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007600910035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genuardi'S Family Markets LP GFM
• Amal M Ghoubrial, RPH
• Giant Food Stores LLC
• Lisa M Giordano, MPT
• Good Posture Physical Therapy PC
• Jami P Gorman
• Erin Grau
• Gregg M. Schwartz, D.C.
• Ground Luminosity Eastern Wellness Center
• Staci Gulotta

• Geriatric Medicine (Internal Medicine) Physician in North Wales, PA
• Providers in North Wales, PA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.