Nathan L Gordon, DO is a
Anesthesiology physician based in Columbus, Michigan. Nathan L Gordon is licensed to practice in Michigan (license number 5101005592) and his current practice location is 111 S Grant, Columbus, Michigan. He can be reached at his office (for appointments etc.) via phone at
(614) 566-5000.
NPI number for Nathan L Gordon is 1346392602 and his current mailing address is 19231 Berkeley Rd, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346392602.
Physician's Profile
| Full Name | Nathan L Gordon |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 111 S Grant, Columbus, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346392602
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/02/2008
Medical Identifiers
Medical identifiers for Nathan L Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346392602 | NPI | - | NPPES |
| 4181835-11 | Medicaid | MI | |
| 5558242 | Other | MI | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 5101005592 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan L Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nathan L Gordon, DO
19231 Berkeley Rd,
Detroit, MI 48221-1867
Ph: (313) 345-7888 | Nathan L Gordon, DO
111 S Grant,
Columbus, MI 48214-3707
Ph: (614) 566-5000 |
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