Lawrence W Gordon (NPI# 1982609665, PAC ID# 7012999105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1982609665 |
| PAC ID by PECOS | 7012999105 |
| Professional Enrollment ID | I20080620000351 |
| Full Name | Lawrence W Gordon |
| Organization Legal Name | MID SOUTH RETINA ASSOCIATES, LLC |
| Address |
820 E Matthews E Jonesboro AR 72401 |
| Phone Number | 8709339262 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8921080094 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 E Tickle St, Dyersburg, TN 38024-3119 | 7312861240 | MID SOUTH RETINA ASSOCIATES, LLC |
| 328 Coatsland Dr, Jackson, TN 38301-3908 | 7314271476 | MID SOUTH RETINA ASSOCIATES, LLC |
| 820 E Matthews, E, Jonesboro, AR 72401 | 8709339262 | MID SOUTH RETINA ASSOCIATES, LLC |
| 6005 Park Ave, Suite 624, Memphis, TN 38119-5202 | 9016821100 | MID SOUTH RETINA ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 75% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MID SOUTH RETINA ASSOCIATES, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Bradford Priester | Ophthalmology | Mid South Retina Associates, LLC | 6005 Park Ave, Suite 624, Memphis, TN 38119-5202 |
| Steven L Williams | Ophthalmology | Mid South Retina Associates, LLC | 6005 Park Ave, Suite 624, Memphis, TN 38119-5202 |
| Tawan Sunny Khamapirad | Ophthalmology | Mid South Retina Associates, LLC | 611 Alcorn Dr, Suite 110, Corinth, MS 38834-9322 |
| Richard E Sievers | Ophthalmology | Mid South Retina Associates, LLC | 6005 Park Ave, Suite 624, Memphis, TN 38119-5202 |
| Street Address |
820 E MATTHEWS E |
| City | JONESBORO |
| State | AR |
| Zip | 72401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Mable R Prunty | Nurse Practitioner | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | JONESBORO + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Lawrence W 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.