Gordon F Fung


Address: 4 Oxford Xing, Suite 101, New Hartford, NY 13413-3248
Phone: 3157971623

Gordon F Fung (NPI# 1427110485, PAC ID# 1355399460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1427110485
PAC ID by PECOS 1355399460
Professional Enrollment ID I20050105000782
Full Name Gordon F Fung
Address 4 Oxford Xing
Suite 101
New Hartford
NY 13413-3248
Phone Number 3157971623
Gender M
Credential MD
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330044 FAXTON-ST LUKE'S HEALTHCARE
330245 ST ELIZABETH MEDICAL CENTER

Other Locations

Address Phone Organization
4 Oxford Xing, Suite 101, New Hartford, NY 13413-3248 3157971623

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 4 OXFORD XING
SUITE 101
City NEW HARTFORD
State NY
Zip 13413-3248

Physicians in the same location

Name Specialty Organization Address
Bhisham Garg Internal Medicine 4 Oxford Xing, Suite 103, New Hartford, NY 13413-3248

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Stephanie Marie Calenzo Physician Assistant Slocum Dickson Medical Group Pllc 1729 Burrstone Rd, New Hartford, NY 13413-1001
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Find all physicians in zip 13413

Competitor

Search similar physicians

City NEW HARTFORD
Zip Code 13413
Specialty INTERNAL MEDICINE
City + Specialty NEW HARTFORD + INTERNAL MEDICINE

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Dataset Information

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.

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