Matthew C Gordon (NPI# 1093007767, PAC ID# 8729227665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1093007767 |
| PAC ID by PECOS | 8729227665 |
| Professional Enrollment ID | I20151210002201 |
| Full Name | Matthew C Gordon |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Address |
7658 Poplar Pike Germantown TN 38138-5941 |
| Phone Number | 9013222322 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163501834 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7658 Poplar Pike, Germantown, TN 38138-5941 | 9013222322 | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| 7203 Goodman Rd, Olive Branch, MS 38654-1906 | 9017592322 | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis N Johnson | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Purvisha Patel | Dermatology | Advanced Dermatology and Skin Cancer Associates, Pllc | 5349 Airline Rd, Arlington, TN 38002-4266 |
| Jennifer Hinders | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Melanie J Hamilton | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Julie Ann Jefferson | Dermatology | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Natalie Morgan | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Street Address |
7658 POPLAR PIKE |
| City | GERMANTOWN |
| State | TN |
| Zip | 38138-5941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie J Hamilton | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Natalie Morgan | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Foley | Dermatology | 2195 W St, Germantown, TN 38138 | |
| Jeffrey M Bishop | Nurse Practitioner | 6655 Poplar Ave, Suite 204, Germantown, TN 38138-0643 | |
| Michael A Nelson | Cardiovascular Disease (cardiology) | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Tracie L. Luther | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Lesa J Beaver | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Kelly D Lee | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| William Kurts | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jeffrey Sawyer | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Walter Diggs | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jennifer Gourley Huffman | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Find all physicians in zip 38138 | |||
| City | GERMANTOWN |
| Zip Code | 38138 |
| Specialty | DERMATOLOGY |
| City + Specialty | GERMANTOWN + DERMATOLOGY |
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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.