Anthony K Gordon (NPI# 1912968041, PAC ID# 1759362908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1912968041 |
| PAC ID by PECOS | 1759362908 |
| Professional Enrollment ID | I20180604002881 |
| Full Name | Anthony K Gordon |
| Organization Legal Name | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| Address |
7 Oakmont Ct San Rafael CA 94901-1235 |
| Phone Number | 7027598600 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4486568946 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| 340131 | CAROLINA EAST MEDICAL CENTER |
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 030002 | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX |
| Address | Phone | Organization |
|---|---|---|
| 13958 La Jolla Plz, Garden Grove, CA 92844-2980 | 6025216252 | SOUTHWEST DIAGNOSTIC IMAGING LTD |
| 165 Rowland Way, Suite 208, Novato, CA 94945-5055 | 4154294225 | MARIN ADVANCED WOUND CENTER PC |
| 7 Oakmont Ct, San Rafael, CA 94901-1235 | 7027598600 | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| 7 Oakmont Ct, San Rafael, CA 94901-1235 | 2526335057 | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Organization Legal Name | ELLIS BANDT BIRKIN KOLLINS AND WONG PLLC |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley Wayne Whitaker | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 10348 N 96th Pl, Scottsdale, AZ 85258-4775 |
| Jonathan Hastings Harrison | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 3920 S Eastern Ave, Suite 100, Las Vegas, NV 89119-5171 |
| Sandra Lee | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 15697 Reimund Ct, Findlay, OH 45840-8902 |
| Vaughn G Marshall | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 8912 Chestnut Hill Ln, Highlands Ranch, CO 80130-5127 |
| Perry Horwich | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 1397 S Loop Rd, Suite 100, Pahrump, NV 89048-4752 |
| Douglas Glen Larson | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 2020 Palomino Ln, Suite 100, Las Vegas, NV 89106-4894 |
| James Ak Peterson | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 |
| William J Perry | Physician Assistant | Ellis Bandt Birkin Kollins and Wong Pllc | 2811 W Horizon Ridge Pkwy, Henderson, NV 89052-4394 |
| Jimmy C Wang | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 34 Newcastle Ln, Laguna Niguel, CA 92677-9327 |
| Carleton Allen | Diagnostic Radiology | Ellis Bandt Birkin Kollins and Wong Pllc | 9026 S Calvin Way, Inglewood, CA 90305-2393 |
| Street Address |
7 OAKMONT CT |
| City | SAN RAFAEL |
| State | CA |
| Zip | 94901-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Arlene Bush | Clinical Social Worker | 114 Windsor Ave, San Rafael, CA 94901-1054 | |
| Lori R Rifkin | Psychologist, Clinical | 2012 5th Ave, San Rafael, CA 94901-1714 | |
| Alex S Markels | Clinical Social Worker | 1480 Lincoln Ave, Suite 10, San Rafael, CA 94901-2085 | |
| Eugene L Schoenfeld | Psychiatry | 1368 Lincoln Ave, Suite 207, San Rafael, CA 94901-2121 | |
| Betsy K Levine Proctor | Psychologist, Clinical | 1330 Lincoln Ave, Suite 103, San Rafael, CA 94901-2141 | |
| Nancy A Hoffman | Psychologist, Clinical | 1330 Lincoln Ave, Suite 110, San Rafael, CA 94901-2141 | |
| Kate R Gustin | Psychologist, Clinical | 1330 Lincoln Ave, Suite 102c, San Rafael, CA 94901-2141 | |
| Erik L Bernecker | Psychologist, Clinical | 1330 Lincoln Ave, Suite 100, San Rafael, CA 94901-2141 | |
| Alan N Boyar | Psychologist, Clinical | 1330 Lincoln Ave, Suite 105, San Rafael, CA 94901-2141 | |
| Alvin Raja Hornstein | Psychologist, Clinical | 1330 Lincoln Ave, Suite 310, San Rafael, CA 94901-2143 | |
| Find all physicians in zip 94901 | |||
| City | SAN RAFAEL |
| Zip Code | 94901 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN RAFAEL + DIAGNOSTIC RADIOLOGY |
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| 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.