DR. CHARLES MARVIN GORDON JR.


Address: 1505 Daphne Ave, Daphne, AL 36526
Phone: 2516252663

DR. CHARLES MARVIN GORDON JR. (NPI# 1275825135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275825135
Entity Type Individual
Full Name DR. CHARLES MARVIN GORDON JR.
Credential M.D.
Practice Address 1505 Daphne Ave
Daphne
AL 36526
Mailing Address 1505 Daphne Ave
Daphne
AL 36526-4298
Practice Telephone 2516252663
Mailing Telephone 2516252663
Enumeration Date 2011-05-11
Last Update Date 2018-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
MD36872 AL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 Mobile Infirmary Cir, Mobile, AL 366073513 2516252663
750 Morphy Ave, Fairhope, AL 365321812 2516252663

Other Providers CHARLES GORDON

NPI Name Taxonomy Address Enumeration
1942692769 Charles Gordon Physical Therapist 29 Center St Ste 1, Goffstown, NH 03045-2948 2015-03-03
1811019268 Charles Thomas Gordon IIi Psychiatry & Neurology 11204 Farmland Dr, Rockville, MD 20852-4522 2007-04-05
1821103631 Charles Albert Gordon Physical Medicine & Rehabilitation 1059 S Fairfax Ave, Los Angeles, CA 90019-4402 2006-08-20
1831164722 Charles G. Gordon Dentist 1026 Eagleridge Blvd, Pueblo, CO 81008-2130 2006-02-22
1649243890 Charles F Gordon Anesthesiology 9 Old Plank Rd Ste 100, Clifton Park, NY 12065-3107 2006-02-08
1326049529 Charles Richard Gordon Family Medicine 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 2005-08-10
1750858700 Charles Gordon Case Manager/Care Coordinator 4269 Pearl Rd, Cleveland, OH 44109-4234 2018-10-29
1134642655 Charles Gordon Nurse Anesthetist, Certified Registered 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 2017-07-18
1114382025 Charles Gordon Jr. Physician Assistant 315 S Manning Blvd, Albany, NY 12208-1707 2015-12-18
1841405743 Charles Robert Gordon Specialist/Technologist 3910 Teays Valley Rd, Hurricane, WV 25526-9756 2007-05-14

Office Location

Street Address 1505 DAPHNE AVE
City DAPHNE
State AL
Zip Code 36526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710973490 Paul B Canale Specialist 1505 Daphne Ave, Daphne, AL 36526-4298 2005-09-27
1497365324 Hannah Clair Dunn Physician Assistant 1505 Daphne Ave, Daphne, AL 36526-4298 2020-08-05
1477170272 Kaleigh Hornberger Nurse Practitioner 1505 Daphne Ave, Daphne, AL 36526-4298 2020-06-29
1487102810 Holly Scott Nurse Practitioner 1505 Daphne Ave, Daphne, AL 36526-4298 2016-09-14
1972953081 Seneca Walden Nurse Practitioner 1505 Daphne Ave, Daphne, AL 36526-4298 2016-06-20
1285009282 Roderick Gibbs Massage Therapist 1505 Daphne Ave, Daphne, AL 36526-4298 2015-12-02
1154739548 Elizabeth Hill Luscher Nurse Practitioner 1505 Daphne Ave, Daphne, AL 36526-4298 2014-07-29
1336441500 Shireen S Knowles Nurse Practitioner 1505 Daphne Ave, Daphne, AL 36526-4298 2010-11-22
1205087558 Dawn F Thomas Physical Therapist 1505 Daphne Ave, Daphne, AL 36526-4298 2008-10-06
1417166166 Matthew Goldman Specialist 1505 Daphne Ave, Daphne, AL 36526-4298 2007-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578173464 H3o Living, LLC Clinic/Center 29000 U.S. 98, Daphne, AL 36526 2020-08-05
1790345403 Gregory Conner Reese Student in an Organized Health Care Education/Training Program 27654 Red Eagle Drive, Daphne, AL 36526 2019-06-14
1649787912 Jubilee Family Dentistry, LLC Dentist 6475 Jordan Avenue, Daphne, AL 36526 2018-01-08
1770090607 Gary Andrew Gould Physician Assistant 28490 2nd St Ste B, Daphne, AL 36526 2017-12-31
1366957011 Emily Jane Tisdale Behavioral Analyst 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 2017-12-04
1437680600 Blair Hoffman Pringle Nurse Practitioner 26179 Capitol Drive Suite A, Daphne, AL 36526 2017-03-21
1275915324 Simara Sokom Pharmacist 29487 State Highway 181, Daphne, AL 36526 2015-06-25
1366859126 Seth Matthew Gross Pharmacist 101b Villa Drive, Suite B-260, Daphne, AL 36526 2014-07-14
1841627940 Michelle Renae Counts Counselor 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 2013-10-03
1194066613 Ryan Nobles Chiropractor 6483 Van Buren Street, Suite 101, Daphne, AL 36526 2013-03-07
Find all providers in zip 36526

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639710882 Petersen Neurospine, Pllc Orthopaedic Surgery 6701 Airport Blvd Ste D100, Mobile, AL 36608-6765 2019-09-30
1396244307 Select Health of Al, LLC Orthopaedic Surgery 202a Government St, Mobile, AL 36602-2614 2018-02-05
1497254403 Joint Replacement Cin of Mobile LLC Orthopaedic Surgery 202b Government St, Mobile, AL 36602-2614 2018-02-05
1801310362 Kivanc Atesok Orthopaedic Surgery Uab Division of Orthopaedic Surgery 510 20th, Birmingham, AL 35294-0001 2017-07-26
1467755405 University Orthopaedic Clinic, PC Orthopaedic Surgery 241 Robert K Wilson Drive, Carrolton, AL 35447-0478 2010-12-14
1871713032 Obrien Orthopedic PC Orthopaedic Surgery 6490 Highway 72, Athens, AL 35645 2007-04-27
1689723868 Timothy A. Holt Orthopaedic Surgery 257 Winton M Blount Loop, Montgomery, AL 36117-3507 2007-01-09
1356325138 Southeastern Spine Specialists Inc Orthopaedic Surgery 1781 Commons North Loop, Tuscaloosa, AL 35406-3577 2005-12-05
1053807230 Chong Weng Orthopaedic Surgery 510 20th St S, Birmingham, AL 35233-2028 2018-07-10
1437411675 John Rodriguez-feo IIi Orthopaedic Surgery 927 Franklin St Se, Huntsville, AL 35801-4306 2012-06-13
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Competitor

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City DAPHNE
Zip Code 36526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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