MR. MATTHEW AINEY GORDON PA-C NPI 1003962804

NPI Information

NPI: 1003962804
Provider Name: MR. MATTHEW AINEY GORDON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
20 YORK ST
3RD FLOOR WEST PAVILION, CTICU
NEW HAVEN, CT
ZIP 06510
Phone: (203) 785-2702
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MR. Matthew Ainey Gordon, PA-C is a surgical physician assistant in New Haven, CT. MR. Matthew Ainey Gordon, PA-C NPI is 1003962804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 YORK ST
3RD FLOOR WEST PAVILION, CTICU
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 785-2702
Fax: (203) 785-3346

The NPI 1003962804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 2/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	3762	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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