Ms Linda Ruth Gordon, MD | |
516 Quintard Ave Ste B, Anniston, AL 36201-5712 | |
(256) 741-9799 | |
(256) 714-9795 |
Full Name | Ms Linda Ruth Gordon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 516 Quintard Ave Ste B, Anniston, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447282637 | NPI | - | NPPES |
51525709 | Other | BLUE CROSS BLUE SHIELD | |
1447292637 | Other | AL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24330 (Alabama) | Primary |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Ms Linda Ruth Gordon, MD 516 Quintard Ave Suite B, Anniston, AL 36201-6806 Ph: (256) 741-9799 | Ms Linda Ruth Gordon, MD 516 Quintard Ave Ste B, Anniston, AL 36201-5712 Ph: (256) 741-9799 |
Dr. Charles Henry Sabens Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 Leighton Ave, Anniston, AL 36207 Phone: 256-237-7081 | |
Shimshon Porat, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 429 E 9th St, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
Linda White, CRPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Leighton Ave, Anniston, AL 36207 Phone: 256-237-1618 Fax: 256-237-2661 | |
Mary Elizabeth Patrenos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
Dr. Abhishek Purohit, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 | |
Dr. Ramarao Vullaganti, M D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Leighton Ave, Anniston, AL 36207 Phone: 256-237-1618 Fax: 256-237-2661 | |
Dr. Naresh Purohit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 |