Active NPI
Barbara L Gordon, M.D.
- Clinical Genetics (M.D.) Physician
- Greenwood, SC
National Provider Identifier
1922087162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 31830
- Practice address
- 101 Gregor Mendel Cir
Greenwood, SC 29646-2316 - Phone
- (864) 941-8100
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 31830 | SC | Primary |
Addresses
Primary practice location
101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Mailing address
101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075749 | Medicaid | OH | |
| 35074717C | Other | ID | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wadsworth Rittman Hospital Professional Service Corp | Past | Accepting new patients | |
| Uhhs Bedford | Past | Accepting new patients | |
| Summa Physicians LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- Wadsworth, OH
- NPI 1619910486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1922087162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREGOR MENDEL CIR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462316",
"telephone_number": "864-941-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GREGOR MENDEL CIR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462316",
"telephone_number": "864-941-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "BARBARA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "SC",
"license": "31830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2075749",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "35074717C",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.