Matthew S Gordon, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD21157 Issued in OR

Practice address

875 Oak St SE
Suite 1080
Salem, OR 97301-3975

Phone

(503) 561-5294

Fax

(503) 561-4789

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Radiation Therapy Consultants, PC

  • Radiation Oncology Physician
  • McMinnville, OR
  • NPI 1093961286
  Authorized official Same address or phone
• Radiation Therapy Consultants, PC

  • Radiation Oncology Physician
  • Salem, OR
  • NPI 1427139120
  Authorized official Same address or phone

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1730193830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080391",
            "telephone_number": "503-561-5135",
            "fax_number": "503-561-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "SUITE 1080",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013975",
            "telephone_number": "503-561-5294",
            "fax_number": "503-561-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD21157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151111",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon a Miller MD PC (Willamette Valley EyeCenter)
• Gordon a Miller, MD (Willamette Valley Eye SurgiCenter)
• Corrie Lynn Gordon, LCSW
• Jamila Enirisha Gordon
• Jerome S Gordon, PH.D.
• Emilia Maria Gorecki
• Battina May Gorin, LCSW
• Cory Gorman
• Kaitlin Veronica Gorman, MD
• Ronald Charles Gorman

• Radiation Oncology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.