MR. ALAN J GORDON (NPI# 1518959287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518959287 |
| Entity Type | Individual |
| Full Name | MR. ALAN J GORDON |
| Credential | MD |
| Practice Address |
1750 E Glendale Ave Phoenix AZ 85020-5505 |
| Practice Telephone | 6022424928 |
| Practice Fax Number | 6022494813 |
| Mailing Telephone | 6022424928 |
| Mailing Fax Number | 6022494813 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 20905 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
20905 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | 180021122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386775104 | Alan T Gordon | Social Worker | 1247 7th St Ste 300, Santa Monica, CA 90401-1644 | 2007-03-07 |
| 1043348097 | Alan D Gordon | Ophthalmology | 27 Sandy Ln Ste 220, Lewistown, PA 17044-1320 | 2007-03-01 |
| 1104985969 | Alan R. Gordon | Social Worker | 797 Beaver Creek Ln, Havana, FL 32333-4731 | 2006-12-07 |
| 1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
| 1619121555 | Alan Gordon | Dentist | 4400 Stamp Rd, Suite #313, Marlow Heights, MD 20748-6716 | 2008-11-05 |
| 1710007042 | Alan M Gordon | Dentist | 299 Seymour Ave, Suite 8, Derby, CT 06418-1342 | 2007-03-30 |
| 1073698635 | Alan Lee Gordon | Psychiatry & Neurology | 300 Central Park W, New York, NY 10024-1513 | 2006-10-25 |
| 1689760654 | Alan Howard Gordon | Clinical Neuropsychologist | 45 Walpole St, Ste 6, Norwood, MA 02062-3319 | 2006-10-05 |
| 1538273065 | Alan Stuart Gordon | Psychologist | 196 Princeton Hightstown Rd, Building 1 Second Floor, Princeton Junction, NJ 08550-1672 | 2006-08-19 |
| 1053325639 | Alan L. Gordon | Psychiatry & Neurology | 1901 1st Ave, New York, NY 10029-7494 | 2006-07-28 |
| Street Address |
1750 E GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922501196 | Jodi Ann Matheny | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2018-03-14 |
| 1801259361 | Setu Patel | Student in an Organized Health Care Education/Training Program | 1750 E Glendale Ave, Phoenix, AZ 85020-4328 | 2016-04-01 |
| 1821453689 | Renee Odell | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-12-22 |
| 1427434935 | Jane Nathaly Vega Escobar | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-08-06 |
| 1811371958 | Associated Retina Consultants | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-07-18 |
| 1114308426 | Brandi Ekstrom | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-06-11 |
| 1225417348 | Associated Retina Consultants | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-05-21 |
| 1255759981 | Reda Issa | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020 | 2014-03-31 |
| 1962828632 | Laura P Reyes | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2014-03-05 |
| 1336576982 | Yousef J Cruz-inigo | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255759981 | Reda Issa | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020 | 2014-03-31 |
| 1336576982 | Yousef J Cruz-inigo | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2013-09-27 |
| 1013353804 | Rima Bharat Patel | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-4328 | 2013-05-20 |
| 1205192697 | Kendra Klein-mascia | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2012-04-10 |
| 1164633160 | Associated Retina Consultants, Ltd. | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2007-05-24 |
| 1033257746 | Henry Mark Kwong Jr. | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003952318 | Mark Kim Walsh | Ophthalmology | 6561 E. Carondelet Dr., Tucson, AZ 85710-2161 | 2007-01-30 |
| 1821046251 | George S. Novalis | Ophthalmology | 6585 N Oracle Rd, Tucson, AZ 85704-5611 | 2006-05-05 |
| 1477532497 | Martin A Worrall | Ophthalmology | 1951 N Wilmot Rd Ste 15, Tucson, AZ 85712-8000 | 2006-01-10 |
| 1437615010 | Carrot Eye Center, Pllc | Ophthalmology | 1500 S Dobson Rd Ste 313, Mesa, AZ 85202-4752 | 2019-02-19 |
| 1760983563 | Global Retina Institute LLC | Ophthalmology | 4835 E Cactus Rd Ste 105, Scottsdale, AZ 85254 | 2018-02-27 |
| 1386084119 | William T. K. Stevenson | Ophthalmology | 6561 E Carondelet Dr, Tucson, AZ 85710 | 2013-06-25 |
| 1922234798 | Ryan K Wong | Ophthalmology | 6585 N. Oracle Rd, Tucson, AZ 85704-5611 | 2009-06-05 |
| 1407916992 | Rasw, PC | Ophthalmology | 6561 E Carondelet Dr, Tucson, AZ 85710-2156 | 2006-12-12 |
| 1518925858 | Egbert Saavedra | Ophthalmology | 6561 E Carondelet Dr, Tucson, AZ 85710-2156 | 2006-05-03 |
| 1740259142 | Diego H. Calonje M.d. PC | Ophthalmology | 1951 N Wilmot Rd, Suite 15, Tucson, AZ 85712-8000 | 2006-03-16 |
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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.