Joel Gordon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

78013 Issued in MA

Legal business name

JOEL GORDON, MD

Practice address

33 Riddell St Ste 4
Greenfield, MA 01301-2008

Phone

(413) 774-7900

Fax

(413) 774-7901

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Joel Gordon, MD

Title

Owner

Phone

(413) 774-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1841350428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013020910",
            "telephone_number": "413-772-8500",
            "fax_number": "413-772-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RIDDELL ST STE 4",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012008",
            "telephone_number": "413-774-7900",
            "fax_number": "413-774-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL GORDON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-774-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "78013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G0J14217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elisabeth B Johnson, PHARMD
• Melissa Johnson

• Dermatology Physician in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.