Michael N Gordon (NPI# 1235240516, PAC ID# 0244132918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235240516 |
| PAC ID by PECOS | 0244132918 |
| Professional Enrollment ID | I20040211000366 |
| Full Name | Michael N Gordon |
| Organization Legal Name | SELF RECOVERY LLC |
| Address |
1701 Pelham Rd S Jacksonville AL 36265-3369 |
| Phone Number | 3347824630 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597707083 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010051 | GREENE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 Pelham Rd S, Jacksonville, AL 36265-3369 | 3347824630 | SELF RECOVERY LLC |
| Organization Legal Name | SELF RECOVERY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tahir Siddiq | Internal Medicine | Self Recovery LLC | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 |
| Street Address |
1701 PELHAM RD S |
| City | JACKSONVILLE |
| State | AL |
| Zip | 36265-3369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduardo Villeda | Internal Medicine | 1701 Pelham Rd S, Suite B, Jacksonville, AL 36265-3353 | |
| Tahir Siddiq | Internal Medicine | Self Recovery LLC | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Bonds | Optometry | 601 Pelham Rd S, Jacksonville, AL 36265-2731 | |
| Myrtell L Cantrell | Physician Assistant | Southern Np Associates LLC | 410 Wilson Swdr, Jacksonville, AL 36265-2754 |
| Robin L Bauer | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| Stephen Phillip Herring | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| David G Chandler | Optometry | David G Chandler Od PC | 1640 Pelham Rd S, Jacksonville, AL 36265-3312 |
| Lawrence Rosen | Urology | Northeast Alabama Urology Center, P.C. | 201 Henry Swrd, Jacksonville, AL 36265-3324 |
| John O Brown | Otolaryngology | 1460 1st Ave Sw, Jacksonville, AL 36265-3329 | |
| Russell L Ingram | Family Medicine | 1460 2nd Ave Sw, Suite A, Jacksonville, AL 36265-3358 | |
| James R Yates | Internal Medicine | 1460 2nd Ave Sw A, Jacksonville, AL 36265-3358 | |
| Mohammad A Zaman | Family Practice | Regional Health Management Corporation | 1555 Pelham Rd S, Suite C, Jacksonville, AL 36265-3378 |
| Find all physicians in zip 36265 | |||
| City | JACKSONVILLE |
| Zip Code | 36265 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSONVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael N Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.