John B Gordon Iii (NPI# 1962483099, PAC ID# 4981701950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1962483099 |
| PAC ID by PECOS | 4981701950 |
| Professional Enrollment ID | I20080603000438 |
| Full Name | John B Gordon Iii |
| Organization Legal Name | SAN DIEGO CARDIAC CENTER MEDICAL GROUP |
| Address |
3131 Berger Ave Suite 200 San Diego CA 92123-4203 |
| Phone Number | 8582446865 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8628045986 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050100 | SHARP MEMORIAL HOSPITAL |
| 050234 | SHARP CORONADO HOSPITAL AND HLTHCR CTR |
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 | 6195025800 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 | 8582446865 | SAN DIEGO CARDIAC CENTER MEDICAL GROUP |
| Organization Legal Name | SAN DIEGO CARDIAC CENTER MEDICAL GROUP |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hashim Khan | Internal Medicine | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Arvin P S Narula | Interventional Cardiology | San Diego Cardiac Center Medical Group | 7901 Frost St, San Diego, CA 92123-2786 |
| Charles A Athill | Cardiac Electrophysiology | San Diego Cardiac Center Medical Group | 7901 Frost St, San Diego, CA 92123-2786 |
| Brian E Jaski | Advanced Heart Failure and Transplant Cardiology | San Diego Cardiac Center Medical Group | 7901 Frost St, San Diego, CA 92123-2786 |
| Hirsch S Mehta | Advanced Heart Failure and Transplant Cardiology | San Diego Cardiac Center Medical Group | 751 Medical Ctr Ct, Chula Vista, CA 91911-6617 |
| David P Cork | Cardiovascular Disease (cardiology) | San Diego Cardiac Center Medical Group | 7901 Frost St, San Diego, CA 92123-2786 |
| Peter M Hoagland | Advanced Heart Failure and Transplant Cardiology | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Meegan Elizabeth Jones | Nurse Practitioner | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Gregory Bart Mahan | Cardiovascular Disease (cardiology) | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Street Address |
3131 BERGER AVE SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92123-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hashim Khan | Internal Medicine | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Peter M Hoagland | Advanced Heart Failure and Transplant Cardiology | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Meegan Elizabeth Jones | Nurse Practitioner | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Ara S Klijian | Thoracic Surgery | 3131 Berger Ave, Suite 250, San Diego, CA 92123-4236 | |
| Gregory Bart Mahan | Cardiovascular Disease (cardiology) | San Diego Cardiac Center Medical Group | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard J Lichtenstein | Internal Medicine | 8853 Spectrum Blvd, Ste 7111, San Diego, CA 92123 | |
| Kristen M Walters | Allergy/immunology | Rady Children's Hospital - San Diego | 5775 Ruffin Rd, San Diego, CA 92123-1012 |
| Alexander N Greiner | Allergy/immunology | Rady Children's Hospital - San Diego | 5776 Ruffin Rd, San Diego, CA 92123-1013 |
| Nancy K Ostrom | Allergy/immunology | Rady Children's Hospital - San Diego | 5776 Ruffin Rd, San Diego, CA 92123-1013 |
| Kenneth H Lasser | Pathology | Pacific Pathology, Inc. | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1059 |
| John B. Campbell | Pathology | Pacific Pathology, Inc. | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1059 |
| Gregory A Wheeler | Chiropractic | 5482 Complex St, Suite 101, San Diego, CA 92123-1125 | |
| Adrian Brandon Jonan | Anesthesiology | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Brent Christopher Ozaki | Internal Medicine | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Christian N Kelly | Emergency Medicine | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Find all physicians in zip 92123 | |||
| City | SAN DIEGO |
| Zip Code | 92123 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAN DIEGO + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on John B Gordon Iii.
| 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.