DR. MATTHEW R. GORDON (NPI# 1417215401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417215401 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R. GORDON |
| Credential | M.D. |
| Practice Address |
800 Washington St Boston MA 02111-1552 |
| Practice Telephone | 5187744007 |
| Mailing Telephone | 5187744007 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 252480 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021962 | Matthew Gordon | Technician | 31 Garden Lane, Waverly, WV 26184 | 2020-07-27 |
| 1275055071 | Matthew Gordon | Physical Therapist | 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334 | 2017-07-13 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1306812342 | Matthew C Gordon | Specialist/Technologist | 5603 Jane Austen St, Houston, TX 77005-1959 | 2006-02-28 |
| 1760025340 | Matthew Gordon | Pharmacist | 1601 W Kennedy Blvd, Tampa, FL 33606-1844 | 2019-10-25 |
| 1275980120 | Matthew Gordon I | Physical Therapy Assistant | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-1223 | 2016-05-20 |
| 1710396494 | Matthew Gordon | Physical Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-08-07 |
| 1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
| 1447544820 | Matthew David Gordon | Chiropractor | 79 Hillsdale St, Hillsdale, MI 49242-1208 | 2011-06-03 |
| 1922391952 | Matthew Gordon | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-05-24 |
| Street Address |
800 WASHINGTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848643 | Christopher B. Geary | Orthopaedic Surgery | 800 Washington St, Box 306, Boston, MA 02111-1552 | 2005-06-01 |
| 1720687767 | Johnson Ching | Pharmacist | 800 Washington St, Boston, MA 02111-1552 | 2020-10-21 |
| 1174120075 | Sarah Woodruff | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-10-04 |
| 1255946448 | Tufts Medical Center | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-14 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1053926907 | Arlind Decka | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-08 |
| 1518571124 | Abdulrahman Mohammad Alshiban | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2020-09-01 |
| 1922610229 | Taylor Elizabeth Maffett | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-18 |
| 1467063685 | Heather April Mills Tong | Physical Therapist | 800 Washington St, Boston, MA 02111-1552 | 2020-08-11 |
| 1245840032 | Lindsey Holland | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1871159848 | Andrew Moon | Orthopaedic Surgery | 45 Stuart St Apt 2117, Boston, MA 02116-4769 | 2019-05-15 |
| 1871070144 | Giuseppe Orlando | Orthopaedic Surgery | 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 | 2018-07-19 |
| 1982134946 | Andrew Daniels Hagar | Orthopaedic Surgery | 800 Washtington Street, Boston, MA 02111 | 2017-06-13 |
| 1124479019 | Jeffrey M Potter | Orthopaedic Surgery | 55 Fruit Street, Yawkey 3c, Massachusetts General Hospital, Boston, MA 02114 | 2016-06-22 |
| 1841676905 | Boston Orthopaedic Urgent Care, LLC | Orthopaedic Surgery | 23 Ridgeway Ln, Boston, MA 02114-4206 | 2015-07-30 |
| 1063823755 | Alfred Pisano | Orthopaedic Surgery | 55 Fruit St Bldg 3550, Boston, MA 02114-2621 | 2014-05-15 |
| 1073952859 | Gregory Gasbarro | Orthopaedic Surgery | 55 Fruit St Ste 3g3200, Boston, MA 02114-2621 | 2013-06-14 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| 1528334828 | Harold August Fogel | Orthopaedic Surgery | 55 Fruit St Ste 3800-3a, Boston, MA 02114-2621 | 2012-03-30 |
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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.