Gordon E Fosdick (NPI# 1740206192, PAC ID# 4486614708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1740206192 |
| PAC ID by PECOS | 4486614708 |
| Professional Enrollment ID | I20041012000855 |
| Full Name | Gordon E Fosdick |
| Address |
470 Main St Middlefield CT 06455-1210 |
| Gender | M |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 470 Main St, Middlefield, CT 06455-1210 | ||
| 15 S Elm St, Wallingford, CT 06492-4741 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
470 MAIN ST |
| City | MIDDLEFIELD |
| State | CT |
| Zip | 06455-1210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda E Jones | Clinical Social Worker | 470 Main St, Suite 312, Ridgefield, CT 06877-4516 | |
| Nicole A Chivas | Registered Dietitian Or Nutrition Professional | Wellpoint Health Solutions LLC | 470 Main St, Wilbraham, MA 01095-2900 |
| Jessica Roberto | Clinical Social Worker | South Bay Mental Health Center, Inc. | 470 Main St, Mashpee, MA 02649-2047 |
| Stacy R Flickner Garvey | Registered Dietitian Or Nutrition Professional | Wellpoint Health Solutions LLC | 470 Main St, Wilbraham, MA 01095-2900 |
| Kristen Rose Abbott | Psychologist, Clinical | 470 Main St, Suite 304, Ridgefield, CT 06877-4516 | |
| Danielle Marie Bourque | Registered Dietitian Or Nutrition Professional | Wellpoint Health Solutions LLC | 470 Main St, Wilbraham, MA 01095-2900 |
| Jenna Bernadette Esoo | Registered Dietitian Or Nutrition Professional | Wellpoint Health Solutions LLC | 470 Main St, Wilbraham, MA 01095-2900 |
| Samuel S Kothalanka | Psychiatry | South Bay Mental Health Center, Inc. | 470 Main St, Mashpee, MA 02649-2047 |
| Francis A Guerriero | Clinical Social Worker | South Bay Mental Health Center, Inc. | 470 Main St, Mashpee, MA 02649-2047 |
| Arthur S Tenenbaum | Psychiatry | South Bay Mental Health Center, Inc. | 470 Main St, Mashpee, MA 02649-2047 |
| Find all physicians in the same address | |||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
| Specialty | PODIATRY |
| City + Specialty | MIDDLEFIELD + PODIATRY |
Please comment or provide details below to improve the information on Gordon E Fosdick.
| 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.