Nathan Allan Gordon, MD | |
1500 James Simpson Jr Way, Covington, KY 41011-0801 | |
(859) 655-4111 | |
(859) 655-4815 |
Full Name | Nathan Allan Gordon |
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Gender | Male |
Speciality | Family Medicine |
Location | 1500 James Simpson Jr Way, Covington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508426974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 56731 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
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Nathan Allan Gordon, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 655-4111 | Nathan Allan Gordon, MD 1500 James Simpson Jr Way, Covington, KY 41011-0801 Ph: (859) 655-4111 |
Amitava Michael Dasgupta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 573-882-6228 | |
Dr. Tim Burke Keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Dr. Teresa Koeller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Luke Sunghoon Hong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Mina C Kalfas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Patrick Thomas Burns, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 |