Lawrence J Gordon (NPI# 1811970692, PAC ID# 4688647548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1811970692 |
| PAC ID by PECOS | 4688647548 |
| Professional Enrollment ID | I20040818000756 |
| Full Name | Lawrence J Gordon |
| Organization Legal Name | LAWRENCE GORDON MD PLLC |
| Address |
2004 Route 17m Goshen NY 10924-5210 |
| Phone Number | 8452940661 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1989 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9830280874 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330205 | ST ANTHONY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2004 Route 17m, Goshen, NY 10924-5210 | 8452940661 | LAWRENCE GORDON MD PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LAWRENCE GORDON MD PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Joy Barbalich | Physician Assistant | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Gerald West | Otolaryngology | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Kimberly A Emanuele | Audiologist | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Street Address |
2004 ROUTE 17M |
| City | GOSHEN |
| State | NY |
| Zip | 10924-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Joy Barbalich | Physician Assistant | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Gerald West | Otolaryngology | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Kimberly A Emanuele | Audiologist | Lawrence Gordon Md Pllc | 2004 Route 17m, Goshen, NY 10924-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc H Appel | Orthopedic Surgery | Warwick Valley Orthopedic Surgery, P.C. | 1997 State Route 17m 7, Goshen, NY 10924 |
| Gregory B Redding | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Andrew J Gandolfo | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Julie Benzenberg | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Tara Singh | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Sangeeta Buragohain | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Jonathan Hunziker | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Laura P Kennedy | Psychologist, Clinical | 28 Mcbride Place, Goshen, NY 10924-0841 | |
| Karen Mills | Physical Therapy | Orange County Cerebral Palsy Association | 2 Fletcher St, Goshen, NY 10924-1402 |
| Carmela Doyle | Speech Language Pathologist | Orange County Cerebral Palsy Association | 2 Fletcher St, Goshen, NY 10924-1402 |
| Find all physicians in zip 10924 | |||
| City | GOSHEN |
| Zip Code | 10924 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GOSHEN + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Lawrence J 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.