CHARLES F GORDON (NPI# 1649243890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649243890 |
| Entity Type | Individual |
| Full Name | CHARLES F GORDON |
| Credential | MD |
| Practice Address |
9 Old Plank Rd Ste 100 Clifton Park NY 12065-3107 |
| Practice Telephone | 5183710777 |
| Practice Fax Number | 5183710366 |
| Mailing Telephone | 5183710777 |
| Mailing Fax Number | 5183710366 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
1889491 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
1889491 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01339826 | 05 | |
| NY | BSNENY PIN - SPECIALIST | 000405090003 | 01 |
| NY | 1339826 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 Bay Rd, Bldg B Ste 103, Queensbury, NY 12804 | 5183710777 | 5183710366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692769 | Charles Gordon | Physical Therapist | 29 Center St Ste 1, Goffstown, NH 03045-2948 | 2015-03-03 |
| 1811019268 | Charles Thomas Gordon IIi | Psychiatry & Neurology | 11204 Farmland Dr, Rockville, MD 20852-4522 | 2007-04-05 |
| 1821103631 | Charles Albert Gordon | Physical Medicine & Rehabilitation | 1059 S Fairfax Ave, Los Angeles, CA 90019-4402 | 2006-08-20 |
| 1831164722 | Charles G. Gordon | Dentist | 1026 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2006-02-22 |
| 1326049529 | Charles Richard Gordon | Family Medicine | 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 | 2005-08-10 |
| 1750858700 | Charles Gordon | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2018-10-29 |
| 1134642655 | Charles Gordon | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2017-07-18 |
| 1114382025 | Charles Gordon Jr. | Physician Assistant | 315 S Manning Blvd, Albany, NY 12208-1707 | 2015-12-18 |
| 1275825135 | Charles Marvin Gordon Jr. | Orthopaedic Surgery | 1505 Daphne Ave, Daphne, AL 36526 | 2011-05-11 |
| 1841405743 | Charles Robert Gordon | Specialist/Technologist | 3910 Teays Valley Rd, Hurricane, WV 25526-9756 | 2007-05-14 |
| Street Address |
9 OLD PLANK RD STE 100 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617917 | New York Pain Consultants LLC | Pain Medicine | 550 Mamaroneck Ave Ste 503, Harrison, NY 10528-1609 | 2019-09-09 |
| 1528553559 | Surgical Pain Center of The Adirondacks, LLC | Pain Medicine | 470 Tom Miller Rd, Plattsburgh, NY 12901-6432 | 2018-06-22 |
| 1922509769 | Bl Pain Management Pllc | Pain Medicine | 9618 63rd Dr Ste 202, Rego Park, NY 11374-2239 | 2018-02-27 |
| 1588183008 | Mmiddletown Interventional Pain Management, P.C. | Pain Medicine | Middletown Interventional Pain Management, P.C., 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2017-09-15 |
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1689031577 | Eighth Avenue Medical, Pllc | Pain Medicine | 839 57th St Fl 1, Brooklyn, NY 11220-6851 | 2016-01-22 |
| 1437556040 | New York Pain Consultants, LLC | Pain Medicine | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2014-11-25 |
| 1801200423 | Ayesha Hameed | Pain Medicine | 1111 Broadhollow Rd Ste 114, Farmingdale, NY 11735 | 2014-06-12 |
| 1285973438 | Irfan A Alladin, Md PC | Pain Medicine | 2901 Bayview Ave, Baldwin, NY 11510-4451 | 2013-02-07 |
| 1336490663 | Bhupinder Singh Bolla Md Pllc | Pain Medicine | 107 Court St, Watertown, NY 13601-2534 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
Please comment or provide details below to improve the information on CHARLES F 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.