Stephen V Gordon, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

13013R Issued in LA

Practice address

8490 Picardy Ave
Building 600, Suite B
Baton Rouge, LA 70809

Phone

(225) 769-6400

Fax

(225) 763-4598

NPI assigned

Aug 3, 2005

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 LA

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

Specialty

General Surgery

Education

Tulane University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen V. Gordon MD LLC

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1609026087
  Medicare reassignment NPD Authorized official
• Stanocola Employees Medical and Hospital Association, Inc

  dba Stanocola Medical Center

  • Specialist
  • Baton Rouge, LA
  • NPI 1275694804
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baton Rouge General Medical Center

  dba Family Health Center

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1184648651

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Hospital Specialists

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Express Care

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1679096416

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1912908518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BUILDING 600, SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-769-6400",
            "fax_number": "225-763-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BUILDING 600, SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-769-6400",
            "fax_number": "225-763-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEPHEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "13013R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556262",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrick Gordon Sr.
• Kiyuana A Gordon
• Lillian Gordon, PHARMD
• Peggy Stewart Gordon, LPN
• Stephanie Gordon, LCSW
• Stewart Thomas Gordon, MD
• Sydney Erin Gordon
• Karla D Gorio, PA-C
• Marla Gorman
• Walthena Covina Gosa, LMFT

• Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.