John Michael Gordon (NPI# 1912016544, PAC ID# 6406021138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1912016544 |
| PAC ID by PECOS | 6406021138 |
| Professional Enrollment ID | I20111209000224 |
| Full Name | John Michael Gordon |
| Address |
311 Radio Park Dr Suite A Richmond KY 40475-2399 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180049 | BAPTIST HEALTH RICHMOND |
| 180115 | ROCKCASTLE COUNTY HOSPITAL, INC. |
| 181329 | SAINT JOSEPH BEREA |
| 180103 | BAPTIST HEALTH LEXINGTON |
| Address | Phone | Organization |
|---|---|---|
| 140 Newcomb Ave, Mt Vernon, KY 40456-2728 | 6062564148 | ROCKCASTLE COUNTY HOSPITAL, INC. |
| 311 Radio Park Dr, Suite A, Richmond, KY 40475-2399 |
| Street Address |
311 RADIO PARK DR SUITE A |
| City | RICHMOND |
| State | KY |
| Zip | 40475-2399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Crowe Jr. | Urology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Heather J Mcclure | Nurse Practitioner | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Stuart Martin | Anesthesiology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
| Rebecca H Proudfoot | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
| Linda J Clark | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
| Marshall J Ney Jr. | Oral Surgery | 527 W Main St, Richmond, KY 40475-1880 | |
| James Tait Iv | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
| Shawn Warren | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
| Lauren Audrey Puckett | Physician Assistant | Baptist Health Medical Group Inc | 131 Meadowlark Dr, Richmond, KY 40475-2235 |
| Adrienne J Millett | Ophthalmology | Hh-ecc LLC | 238 Geri Ln, Richmond, KY 40475-2304 |
| Find all physicians in zip 40475 | |||
| City | RICHMOND |
| Zip Code | 40475 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | RICHMOND + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on John Michael 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.