Alice H Gordon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105207 Issued in FL

Practice address

260 SW 84TH Ave
Suite C
Plantation, FL 33324-2715

Phone

(954) 370-8585

Fax

(954) 370-1585

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agordon2732422@direct.trinity-health.org

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.

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877
  Medicare reassignment Care Compare group
• CCG of South Florida LLC

  • Internal Medicine Physician
  • Coral Springs, FL
  • NPI 1497034086
  Medicare reassignment
• South Florida Oncology and Hematology Consultants LLC

  • Hematology & Oncology Physician
  • Plantation, FL
  • NPI 1700891256
  Medicare reassignment
• Holy Cross Hospital Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Ft Lauderdale, FL
  • NPI 1518126499
  NPD
• Holy Cross Hospital, Inc

  • Health & Wellness Coach
  • Oakland Park, FL
  • NPI 1063207595
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  • General Acute Care Hospital
  • Ft Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1811222045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 W OAKLAND PARK BLVD",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333197107",
            "telephone_number": "954-749-6955",
            "fax_number": "954-578-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW 84TH AVE",
            "address_2": "SUITE C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242715",
            "telephone_number": "954-370-8585",
            "fax_number": "954-370-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALICE",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Brooks Goodwin, D.O.
• Ramesh Gopalaswamy, MD
• Fabian Gopie
• Miranda Goransson, DPM
• Gordon Therapeutic LLC
• Arlene Brett Gordon
• Avi Gordon
• Christopher Gordon, M.D.
• Jonathan E Gordon, O.D.
• Melissa Gordon, M.D.

• Medical Physician Assistant in Plantation, FL
• Providers in Plantation, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.