Active NPI
David A Gordon, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Allentown, PA
National Provider Identifier
1801889944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD042046E
- Practice address
- 1493 Wethersfield Dr
Allentown, PA 18104-1945 - Phone
- (610) 391-1178
- Fax
- (610) 391-9122
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD042046E | PA | Primary |
Addresses
Primary practice location
1493 Wethersfield Dr
Allentown, PA 18104-1945
Mailing address
1493 Wethersfield Dr
Allentown, PA 18104-1945
Phone (610) 391-1178
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011442100007 | Medicaid | PA | |
| 0011442100008 | Medicaid | PA | |
| 423121 | Other | PA | HIGHMARK PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042046E | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northampton Clinic Company LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Northampton Clinic Company LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1538254131
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Hematology & Oncology Physician
- Bethlehem, PA
- NPI 1952633596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1801889944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 WETHERSFIELD DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181041945",
"telephone_number": "610-391-1178",
"fax_number": "610-391-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 WETHERSFIELD DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181041945",
"telephone_number": "610-391-1178",
"fax_number": "610-391-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD042046E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011442100007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011442100008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PIN",
"identifier": "423121",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.