Gordon D Donald Iii (NPI# 1912936162, PAC ID# 7315935129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1912936162 |
PAC ID by PECOS | 7315935129 |
Professional Enrollment ID | I20040503000097 |
Full Name | Gordon D Donald Iii |
Organization Legal Name | NJ ORTHO GROUP |
Address |
12 Christopher Way Eatontown NJ 07724-3330 |
Phone Number | 7327477110 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 6507178001 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310034 | RIVERVIEW MEDICAL CENTER |
310052 | OCEAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
12 Christopher Way, Eatontown, NJ 07724-3330 | 7327477110 | NJ ORTHO GROUP |
12 Christopher Way, Suite 200, Eatontown, NJ 07724-3330 | 7327477110 | NJ ORTHO GROUP |
Organization Legal Name | NJ ORTHO GROUP |
Physicians | 1 |
Street Address |
12 CHRISTOPHER WAY |
City | EATONTOWN |
State | NJ |
Zip | 07724-3330 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kyriaka Sutton Kollis | Optometry | Optometric Physicians of Eatontown LLC | Rt 35 and Rt, 36 Office Max Plaza, Eatontown, NJ 07724 |
William F Beegle | Optometry | 180 Route 35 S, Suite 2105, Eatontown, NJ 07724-1101 | |
David E Wolff | Psychiatry | 615 Hope Rd, Suite 2, Eatontown, NJ 07724-1273 | |
Nami O Khulusi | Internal Medicine | 615 Hope Rd, Suite 2a, Eatontown, NJ 07724-1273 | |
Wanderson M Silva | Chiropractic | 613 Hope Rd, Suite 1, Eatontown, NJ 07724-1279 | |
Eric M Freedman | Chiropractic | 40 Broad St, Eatontown, NJ 07724-1535 | |
Barry N Grabelle | Family Practice | 350 Broad St, Eatontown, NJ 07724-1616 | |
Eric J Abrams | Podiatry | Shore Health Group PC | 142 Hwy 35, Suite 104, Eatontown, NJ 07724-1864 |
Kevin S Lopyan | Vascular Surgery | 142 Hwy 35, Eatontown, NJ 07724-1876 | |
Steven George | Physical Therapy | Healing Star Physical Therapy and Wellness LLC | 145 Wyckoff Rd, Suite 102, Eatontown, NJ 07724-1879 |
Find all physicians in zip 07724 |
City | EATONTOWN |
Zip Code | 07724 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | EATONTOWN + ORTHOPEDIC SURGERY |
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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.