Julian A Gordon, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35040438G Issued in OH

Practice address

2268 Orchard Way
Beachwood, OH 44122-1380

Phone

(216) 464-5600

Fax

(216) 595-5404

NPI assigned

Apr 20, 2006

Last updated

Oct 9, 2008By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Julian a. Gordon MD Inc

  • Urology Physician
  • Cleveland, OH
  • NPI 1437274628
  NPD (past) Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1952366916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 ORCHARD WAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221380",
            "telephone_number": "216-464-5600",
            "fax_number": "216-595-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 ORCHARD WAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221380",
            "telephone_number": "216-464-5600",
            "fax_number": "216-595-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JULIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35040438G",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35040438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon & Mangan Travelers Clinic, LLC (Passport Health Northern Ohio)
• Gordon Dental Care, Inc.
• Barry Hale Gordon, PH.D.
• Jessie Gordon, LPCC
• Jonathan D Gordon, PH.D.
• Peter G Gordon, D.D.S.
• Steven Paul Gordon, O.D.
• Dawn Lynn Gore, CNS
• George I Gorodeski, MD
• Tiona Lynn Gosha I, RN, LPC

• Urology Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.