Gerald Gordon, MD, Facp, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17475 Issued in SC

Legal business name

GERALD GORDON, MD, FACP, LLC

Doing business as

Internal Medicine Associates of Aiken

Practice address

102 Summerwood Way
Aiken, SC 29803-7704

Phone

(803) 649-5300

Fax

(803) 649-0056

NPI assigned

Dec 28, 2005

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Gordon, M.D.NPI 1396738753

Title

President

Phone

(803) 649-5300

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Internal Medicine Associates of Aiken Doing business as

Locations

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.

• Gerald Gordon, M.D.

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1396738753
  Authorized official Same address or phone

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1942287305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5238",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298045238",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUMMERWOOD WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037704",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD GORDON, MD, FACP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-649-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "21255",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0689",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2024",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6336",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates of Aiken",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David H Gibbs, MD

• Internal Medicine Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.