Coleson RJ Gordon

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

880 Lakecrest Ave Apt 1C
High Point, NC 27265-2671

Phone

(219) 707-0399

NPI assigned

Jun 10, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1891354239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LAKECREST AVE APT 1C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652671",
            "telephone_number": "219-707-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LAKECREST AVE APT 1C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652671",
            "telephone_number": "219-707-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "COLESON",
        "middle_name": "RJ",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann B Goodnight, PT
• Blake Goodwin, RPH
• Malina Masean Goodwin
• Kirsten McKoy Goolsby, PAC
• Gordon B Arnold MD PLLC
• Alan Charles Gorrod
• Brian Andrew Gottwalt, DO
• Robert Michael Goudy, DC
• Ilona Davidovna Goukassian, D.O.
• Grace Integrative Healthcare, LLC

• Student in an Organized Health Care Education/Training Program in High Point, NC
• Providers in High Point, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.