PETER W. GORDON (NPI# 1568540342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568540342 |
| Entity Type | Individual |
| Full Name | PETER W. GORDON |
| Credential | MD |
| Practice Address |
280 W Macarthur Blvd Oakland CA 94611-5642 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 5107521000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G42113 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G421130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568745677 | Peter F Gordon | Family Medicine | Avenida Los Tules 116, Int 14, Colonia Diaz Ordaz, Puerto Vallarta, JALISCO 48310 | 2011-09-25 |
| 1932244662 | Peter Michael Gordon | Counselor | 4030 E Broadway, Long Beach, CA 90803-1502 | 2007-02-20 |
| 1154316230 | Peter Eliot Gordon | Emergency Medicine | 218 Baltic St, Brooklyn, NY 11201-6620 | 2005-09-15 |
| 1558565085 | Peter M Gordon | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-06-11 |
| 1093838856 | Peter Gregory Gordon | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2007-04-09 |
| 1205956109 | Peter Gordon | Physical Therapist | 349 W Commercial St, Ste 1275, E Rochester, NY 14445-2407 | 2007-04-02 |
| 1114070349 | Peter G Gordon | Dentist | 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557 | 2007-01-19 |
| 1679525141 | Peter H Gordon | Radiology | 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 | 2006-05-16 |
| 1831158955 | Peter T Gordon | Internal Medicine | 259 Main St, Yarmouth, ME 04096-6723 | 2006-03-18 |
| 1992706683 | Peter Alfred Gordon | Ophthalmology | 1457 Scott Blvd, Decatur, GA 30030-1705 | 2005-08-03 |
| Street Address |
280 W MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113236 | Kathleen Elizabeth Weston | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2005-09-02 |
| 1174033062 | Jennifer Dacuma Darden | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2017-10-04 |
| 1487026225 | Sarah De La Cerda | Social Worker | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-10-20 |
| 1548654007 | Tiffany Tsai | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1720472277 | Bryan Lee | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1003220310 | Jessica Chang | Pharmacist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-13 |
| 1831502541 | Martha Jane Elster | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-10 |
| 1346650090 | Spencer Christensen | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611 | 2014-05-03 |
| 1063822138 | Talya Judith Brettler | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Rm. #118, Oakland, CA 94611-5642 | 2014-04-29 |
| 1194145920 | Mala Kokila Krishnamoorthy | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457419731 | Hematology Oncology Associates | Internal Medicine | 3100 Telegraph Ave #3101, Oakland, CA 94609-3210 | 2006-12-05 |
| 1982014981 | An Uche | Internal Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2014-04-30 |
| 1427474998 | Karina D'souza | Internal Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2014-03-08 |
| 1124462544 | Neha Damle | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2013-04-29 |
| 1457600470 | Samuel Frantilla Monsale | Internal Medicine | 3701 Broadway, Oakland, CA 94611-5613 | 2012-09-05 |
| 1699962803 | Tom K. Lee, M.d., Inc | Internal Medicine | 3100 Telegraph Ave, Oakland, CA 94609-3210 | 2007-10-02 |
| 1821162413 | Yan Li | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-17 |
| 1417035205 | James L. Simons | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
| 1780762575 | David M. Baer | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1659458883 | Tom Kuo Lee | Internal Medicine | 3100 Telegraph Ave, Suite 3106, Oakland, CA 94609-3210 | 2006-11-01 |
| Find all providers in OAKLAND | ||||
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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.