Mickey E Gordon (NPI# 1689644882, PAC ID# 6901860287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1689644882 |
| PAC ID by PECOS | 6901860287 |
| Professional Enrollment ID | I20071207000231 |
| Full Name | Mickey E Gordon |
| Organization Legal Name | GULFCOAST FOOT AND ANKLE CENTER |
| Address |
3501 Health Ctr Blvd Bonita Springs FL 34135-8133 |
| Phone Number | 2399493399 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0244295236 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3501 Health Ctr Blvd, Bonita Springs, FL 34135-8133 | 2399493399 | GULFCOAST FOOT AND ANKLE CENTER |
| 3501 Health Ctr Blvd, Suite 2150, Bonita Springs, FL 34135-8133 | 2399493399 | GULFCOAST FOOT AND ANKLE CENTER |
| Organization Legal Name | GULFCOAST FOOT AND ANKLE CENTER |
| Physicians | 1 |
| Street Address |
3501 HEALTH CTR BLVD |
| City | BONITA SPRINGS |
| State | FL |
| Zip | 34135-8133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge R Guzman | Internal Medicine | Guzman-huesca and Perez LLC | 3501 Health Ctr Blvd, Suite 2160, Estero, FL 34135-8133 |
| Gregory Alan Mazur | Podiatry | Gulfcoast Foot and Ankle Specialists LLC | 3501 Health Ctr Blvd, Suite 2150, Estero, FL 34135-8133 |
| Nalinbhai G Patel | Internal Medicine | Lee Memorial Health System | 3501 Health Ctr Blvd, Suite 2310, Estero, FL 34135-8130 |
| Peter J Wessels | Physician Assistant | Bonita Community Health Center Inc | 3501 Health Ctr Blvd, Estero, FL 34135-8127 |
| Brian David Wilson | Family Medicine | Bonita Community Health Center Inc | 3501 Health Ctr Blvd, Estero, FL 34135-8127 |
| Robert Klausner | Otolaryngology | 3501 Health Ctr Blvd, Suite 2240, Estero, FL 34135-8129 | |
| Matthew S Fine | Urology | 21st Century Oncology, LLC | 3501 Health Ctr Blvd, Suite 2145, Estero, FL 34135-8134 |
| Martha Barzana-fernandez | Internal Medicine | Lee Memorial Health System | 3501 Health Ctr Blvd, Suite 2310, Estero, FL 34135-8130 |
| Pedro Ramos | Physician Assistant | Bonita Community Health Center Inc | 3501 Health Ctr Blvd, Estero, FL 34135-8127 |
| Matthew P Powers | Internal Medicine | 3501 Health Ctr Blvd, Suite 2400, Bonita Springs, FL 34135-8131 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Andre Anderson | Family Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lori Williams | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Christopher R Myer | Hand Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Teri L Nies | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Anthony Pietroniro | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Cesar Cereijo | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Daniel J Harmon | Orthopedic Surgery | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Kimberly A Litka | Nurse Practitioner | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Denise A Drago | Pediatric Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Find all physicians in zip 34135 | |||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
| Specialty | PODIATRY |
| City + Specialty | BONITA SPRINGS + PODIATRY |
Please comment or provide details below to improve the information on Mickey E 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.