John Michael Gordon, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16823 Issued in KY

Practice address

311A Radio Park Dr
Richmond, KY 40475

Phone

(859) 624-2010

Fax

(859) 625-1229

NPI assigned

Aug 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rockcastle County Hospital, Inc.

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714
  Medicare reassignment NPD
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1255645040
  NPD
• Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic

  • Internal Medicine Physician
  • Mount Vernon, KY
  • NPI 1134264799
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912016544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 A RADIO PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-624-2010",
            "fax_number": "859-625-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311A RADIO PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-624-2010",
            "fax_number": "859-625-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "16823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64168230",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Goldstein, CCC-SLP
• Donna Joyce Goodman, APRN
• Mary K Goodman, SANE
• Kelly L Gorbett
• Gordon & Salter Chartered
• Macy Faith Gossage
• Erin Gray, OT
• Tori Gray
• Jeffrey Tyler Gream, RN
• David Tyler Green, MA, LAT, ATC

• Obstetrics & Gynecology Physician in Richmond, KY
• Providers in Richmond, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.