Charles Marvin Gordon Jr. (NPI# 1275825135, PAC ID# 1557636016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1275825135 |
| PAC ID by PECOS | 1557636016 |
| Professional Enrollment ID | I20180828002637 |
| Full Name | Charles Marvin Gordon Jr. |
| Organization Legal Name | BALDWIN BONE AND JOINT P C |
| Address |
1505 Daphne Ave Daphne AL 36526-4298 |
| Phone Number | 2516252663 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0446213409 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010100 | THOMAS HOSPITAL |
| 010090 | PROVIDENCE HOSPITAL |
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1505 Daphne Ave, Daphne, AL 36526-4298 | 2516252663 | BALDWIN BONE AND JOINT P C |
| Organization Legal Name | BALDWIN BONE AND JOINT P C |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley E Patton | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| John A Harcourt | Sports Medicine | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Elizabeth Hill Luscher | Nurse Practitioner | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Dawn F Thomas | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Earl R Hubley | Sports Medicine | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Shireen S Knowles | Nurse Practitioner | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Michelle H Cadden | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Rachael S Hartman | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Matthew Goldman | Orthopedic Surgery | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Patrick H Dunn | Physician Assistant | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Street Address |
1505 DAPHNE AVE |
| City | DAPHNE |
| State | AL |
| Zip | 36526-4298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley E Patton | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| John A Harcourt | Sports Medicine | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Elizabeth Hill Luscher | Nurse Practitioner | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Dawn F Thomas | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Earl R Hubley | Sports Medicine | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Shireen S Knowles | Nurse Practitioner | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Michelle H Cadden | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Rachael S Hartman | Physical Therapy | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Matthew Goldman | Orthopedic Surgery | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Patrick H Dunn | Physician Assistant | Baldwin Bone and Joint P C | 1505 Daphne Ave, Daphne, AL 36526-4298 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vernon L Hermecz | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Kristin Bernice Kalmbacher | Family Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| John C Jacobs V | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Edward Simms | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Alan J Babcock | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Michael O Stodard | Family Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Michael J Bindon | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Thomas Chad Vanderheyden | Emergency Medicine | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Cynthia S Harbaugh | Family Practice | Urgent Care By The Bay, LLC | 1208 Us Hwy 98, Daphne, AL 36526-4254 |
| Todd Kilpatrick | Physical Therapy | Bishop Physical Therapy LLC | 1203 Us Hwy 98, Suite 1 C, Daphne, AL 36526-4255 |
| Find all physicians in zip 36526 | |||
| City | DAPHNE |
| Zip Code | 36526 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DAPHNE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Charles Marvin Gordon Jr..
| 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.