Individual provider Active NPI

Victoria Juda Gordon, MD

  • Family Medicine Physician
  • Orange, TX
National Provider Identifier
1972514461
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9507 Issued in TX
Practice address
610 Strickland Dr
Suite 340
Orange, TX 77630-4786
Phone
(409) 670-0044
Fax
(409) 670-0007
NPI assigned
Aug 10, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9507 TX Primary

Addresses

Primary practice location

610 Strickland Dr
Suite 340
Orange, TX 77630-4786

Mailing address

610 Strickland Dr
Suite 340
Orange, TX 77630-4786
Phone (409) 670-0044

Other identifiers 1

IdentifierTypeStateIssuer
040544101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoriajuda@gordonandparker.direct.emds.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100811000394 TX Practitioner - Family Practice 9234170523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon and Parker, LLPGroup PAC ID 3577690924, 4 clinicians

Practice addresses (Care Compare)

610 Strickland Dr
Suite 340
Orange, TX 77630-4788
Phone (409) 670-0044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Hospital Care Group Single Specialty Current Accepting new patients
Gordon and Parker, LLP Single Specialty CurrentSince Aug 1, 1998 Accepting new patients
Lakeland Radiologists LTD Single Specialty PastSince Aug 1, 1998 Accepting new patients

Locations

610 Strickland Dr
Ste 340
Orange, TX 77630
Phone (409) 670-0044

Interoperability endpoints

  • Direct secure messaging: victoriajuda@gordonandparker.direct.emds.com

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1972514461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR",
            "address_2": "SUITE 340",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304786",
            "telephone_number": "409-670-0044",
            "fax_number": "409-670-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR",
            "address_2": "SUITE 340",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304786",
            "telephone_number": "409-670-0044",
            "fax_number": "409-670-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "VICTORIA",
        "middle_name": "JUDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040544101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoriajuda@gordonandparker.direct.emds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "610 Strickland Dr",
            "address_2": "Suite 340",
            "city": "Orange",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776304786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.