Organization Active NPI

Gordon Foot Care,PA

  • Foot & Ankle Surgery Podiatrist
  • Miami Beach, FL
National Provider Identifier
1902992225
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2890 Issued in FL
Legal business name
GORDON FOOT CARE,PA
Practice address
333 W 41St St
Suite #218
Miami Beach, FL 33140-3641
Phone
(305) 532-5630
Fax
(305) 532-2530
NPI assigned
Oct 5, 2006
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Andrew Gordon, DPMNPI 1831274794
Title
Owner
Phone
(305) 532-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2890 FL Primary

Addresses

Primary practice location

333 W 41St St
Suite #218
Miami Beach, FL 33140-3641

Mailing address

333 W 41St St
Suite #218
Miami Beach, FL 33140-3641
Phone (305) 532-5630

Other identifiers 1

IdentifierTypeStateIssuer
340493500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050307000189 FL Part B Supplier - Clinic/Group Practice 0446204002 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL
O20100930083519 FL DME Supplier - Physician - Podiatry 0446204002 Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

333 W 41st St
Ste 218
Miami Beach, FL 33140
Phone (305) 532-5630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1902992225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 41ST ST",
            "address_2": "SUITE #218",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-532-5630",
            "fax_number": "305-532-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 41ST ST",
            "address_2": "SUITE #218",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-532-5630",
            "fax_number": "305-532-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON FOOT CARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-532-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340493500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.