DR. RONALD D GORDON (NPI# 1356303747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356303747 |
| Entity Type | Individual |
| Full Name | DR. RONALD D GORDON |
| Credential | MD |
| Practice Address |
3811 East Bell Road Suite 208 Phoenix AZ 85032 |
| Practice Telephone | 6024827676 |
| Practice Fax Number | 6024826152 |
| Mailing Telephone | 6024827676 |
| Mailing Fax Number | 6024826152 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2012-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
8503 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | 70412 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619082799 | Ronald F Gordon | Otolaryngology | 3955 Harrison Blvd Ste U5, Ogden, UT 84403-2398 | 2006-08-20 |
| 1306874151 | Ronald Gordon | Psychiatry & Neurology | 425 Old Courthouse Rd, New Hyde Park, NY 11040-1115 | 2006-06-29 |
| 1063460517 | Ronald S. Gordon | Emergency Medicine | 127 Public Sq, Suite 2400, Cleveland, OH 44114-1221 | 2006-05-05 |
| 1255898102 | Ronald Glen Gordon | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-02-27 |
| 1659453108 | Ronald Jeffery Gordon | Anesthesiology | Ucsd Medical Center, 200 W. Arbor Drive Mc 8770, San Diego, CA 92103 | 2006-10-20 |
| Street Address |
3811 EAST BELL ROAD SUITE 208 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1467744490 | Martin Paul Zomaya | Surgery | 3033 N Central Ave Ste 610, Phoenix, AZ 85012 | 2011-05-10 |
| 1326230681 | Salaheddine Tomeh Md PC | Surgery | 333 W Thomas Rd Ste 201, Phoenix, AZ 85013-4425 | 2007-08-10 |
| 1952311037 | Southwestern Cardiovascular and Thoracic Surgeons Ltd | Surgery | 10390 N Tatum Blvd, Suite 103, Phoenix, AZ 85028 | 2006-08-09 |
| 1003876269 | Jeromy Brink | Surgery | 3033 N Central Ave, 610, Phoenix, AZ 85012-2809 | 2006-03-23 |
| 1275502015 | Valley Vascular Surgeons PC | Surgery | 3811 East Bell Rd, Suite 208, Phoenix, AZ 85032 | 2006-03-15 |
| 1902807852 | Dawn Marie Olsen | Surgery | 3600 N 3rd Ave Ste B, Phoenix, AZ 85013-3944 | 2005-08-02 |
| 1881698256 | Casey L Huston | Surgery | 4045 E Bell Rd, Suite 127, Phoenix, AZ 85032-2236 | 2005-06-13 |
| 1982228136 | Honorhealth Ambulatory | Surgery | 19841 N 27th Ave Ste 101, Phoenix, AZ 85027-4004 | 2020-06-03 |
| Find all providers in PHOENIX | ||||
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| 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.