Active NPI
Gordon Foot Care,PA
- Foot & Ankle Surgery Podiatrist
- Miami Beach, FL
National Provider Identifier
1902992225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2890
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Gordon, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340493500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Podiatric Medicine Podiatrist
- Miami Beach, FL
- NPI 1831274794
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.