DR. MICHAEL SCOTT GORDON (NPI# 1407811334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407811334 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT GORDON |
| Credential | MD |
| Practice Address |
480 Maple St Danvers MA 01923-2121 |
| Practice Telephone | 9783048451 |
| Practice Fax Number | 9783048449 |
| Mailing Telephone | 9783048451 |
| Mailing Fax Number | 9783048449 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2009-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
54391 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | J06385 | 01 |
| MA | CIGNA | 91531 | 01 |
| MA | ANTHEM | 28480 | 01 |
| MA | HARVARD PILGRIM | 5161 | 01 |
| MA | FALLON | 2384 | 01 |
| MA | 3023397 | 05 | |
| MA | UNITED HEALTHCARE | 3300086 | 01 |
| MA | MATTHEW THORNTON | 28480 | 01 |
| MA | TUFTS | 710566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| Street Address |
480 MAPLE ST |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041268 | Beverly Anesthesia Associates, Inc. | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2005-08-26 |
| 1235776998 | Meghan Elizabeth Fisher | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2019-12-02 |
| 1386161933 | Shelby Kaubris | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-24 |
| 1285159400 | Melanie L Klein | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-09 |
| 1093239360 | Michael S. Gordon M.d. | Internal Medicine | 480 Maple St, Danvers, MA 01923-4065 | 2017-07-28 |
| 1033650056 | Pain Modulation Associates Pllc | Anesthesiology | 480 Maple St, Pain Management Center, Danvers, MA 01923-4065 | 2017-03-09 |
| 1750765046 | Heidi Prieur | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2015-07-16 |
| 1235522087 | Christie Ann Ellis | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2015-03-17 |
| 1558701789 | Pain Management Centers of New England, LLC | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2013-07-02 |
| 1679916142 | Patrick J Keating | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952662710 | Susan Choe | Internal Medicine | Lahey Outpatient Center @ Danvers, 480 Maple Street 1st Fl, Danvers, MA 01923 | 2012-06-07 |
| 1093239360 | Michael S. Gordon M.d. | Internal Medicine | 480 Maple St, Danvers, MA 01923-4065 | 2017-07-28 |
| 1508809583 | Zhao Liu | Internal Medicine | 480 Maple St, Danvers, MA 01923 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604590 | Denise H. Wong | Internal Medicine | 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 | 2016-04-14 |
| 1518334515 | Stephany Khalil Matta | Internal Medicine | 75 Kneeland St Lbby 5, Boston, MA 02111-1906 | 2015-08-25 |
| 1972982205 | Karen Mccloskey | Internal Medicine | 110 Francis St Ste 6a, Boston, MA 02215-5501 | 2015-05-19 |
| 1568873230 | Eric David Nolen-doerr | Internal Medicine | 720 Harrison Ave Ste 801, Boston, MA 02118-2326 | 2014-05-15 |
| 1790117133 | Z Hinedi Md PC | Internal Medicine | 145 Hampton Rd, Sharon, MA 02067-3203 | 2013-08-08 |
| 1134564859 | Sravanthi Madala | Internal Medicine | 131 Old Road To 9 Acre Cor Ste 700, Concord, MA 01742 | 2013-05-08 |
| 1932462660 | Frederick Thomas Murray | Internal Medicine | 50 Pinehills Dr, Suite 201, Plymouth, MA 02360-7807 | 2012-06-18 |
| 1710243621 | Michele A Gortakowski | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-04 |
| 1750678520 | Shayhira Suazo Herrera | Internal Medicine | 8 Isabella Street, Holyoke Medical Center - Endocrinology & Diabetes Ctr., Holyoke, MA 01040 | 2011-06-30 |
| 1770809147 | Sylvia Kehlenbrink Oh | Internal Medicine | 221 Longwood Avenue, Rfb-2, Bwh, Endocrinology, Diabetes and Hypertension, Boston, MA 02115 | 2010-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL SCOTT GORDON.
| 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.