Yale Gordon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13083 Issued in FL

Practice address

6263 Philips Hwy
Jacksonville, FL 32216-6047

Phone

(904) 374-1339

NPI assigned

Apr 2, 2020

Sex

Male

Sole proprietor

No

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.

• Active Health Center, LLC

  • General Practice Physician
  • North Palm Beach, FL
  • NPI 1790283604
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1801425913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 BAYMEADOWS RD E , JACKSONVILLE FL 32256 APT 722",
            "address_2": "8680 BAYMEADOWS RD E, JACKSONVILLE FL 32256 APT 722",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "908-463-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 PHILIPS HWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166047",
            "telephone_number": "904-374-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Southside Blvd STE 1101, Jacksonville, FL 32216",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "908-463-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "YALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Gordon, PH.D., ABPP
• Patrick O Gordon, MD
• Rebecca J Gordon, PHARMD
• Rhonda T Gordon
• Rondell Gordon
• Gore Safe Transportation LLC
• Lacey Nicole Gore, APRN
• Phillip Gore
• Anna Gorelik, M.D.
• Andrea Michelle Gorjaczew, DO

• All providers in Jacksonville, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.