John M Gordon MD a Professional Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD.023665 Issued in LA

Legal business name

JOHN M GORDON MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

4228 Houma Blvd Ste 220
Metairie, LA 70006-3006

Phone

(504) 834-2062

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

John M Gordon, MDNPI 1851482186

Title

Provider/Owner

Phone

(504) 495-7980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Gordon, M.D.

  • Surgery Physician
  • New Orleans, LA
  • NPI 1851482186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1841580446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063006",
            "telephone_number": "504-834-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M GORDON MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "504-495-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.023665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Wagner, LPC, L.L.C.
• John B Saer MD PHD Facs Apmc
• John B. Cazale, M.D., a Professional Medical Corporation
• John G. Fasick DPM LLC
• John G. Finney MD, LLC
• John R. Carradine, D.P.M., L.L.C.
• Reena Sarah John, D.O,
• Leilani Cyan Johnson-Gordon
• Afton Johnson
• Alaina Waller Johnson, AU.D.

• Surgery Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.