MARK R GORDON MD NPI 1982652939

NPI Information

NPI: 1982652939
Provider Name: MARK R GORDON, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
4520 W 69TH ST
NORTH CENTRAL HEART INSTITUTE
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 977-5000
Get Directions

Mark R Gordon, MD is a cardiovascular disease internal medicine in Sioux Falls, SD with 35 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mark R Gordon, MD NPI is 1982652939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

4520 W 69TH ST
NORTH CENTRAL HEART INSTITUTE
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 977-5000
Fax: (605) 977-5377

The NPI 1982652939 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 5/4/2006 and was last updated on 2/11/2011.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	3929	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I5977	MEDICARE PIN	IOWA
2	33333	OTHER	IOWA	IA BCBS #
3	10492	OTHER		HEALTHPARTNERS
4	0008426	OTHER	SOUTH DAKOTA	SD BCBS
5	101T6GO	OTHER	MINNESOTA	MN BCBS - PLAN 91057NO
6	25-00667	OTHER		MEDICA SELECTCARE
7	6002892	MEDICAID	SOUTH DAKOTA
8	346L9GO	OTHER	MINNESOTA	MN BCBS - PLAN 538R2NO
9	165025	OTHER	MINNESOTA	UCARE
10	931451030123	OTHER		PREFERRED ONE
11	E54559	MEDICARE UPIN	SOUTH DAKOTA
12	060003507	MEDICARE PIN	MINNESOTA
13	S8426	MEDICARE PIN	SOUTH DAKOTA
14	3929	OTHER	SOUTH DAKOTA	DAKOTACARE
15	331503700	MEDICAID	MINNESOTA
16	0549402	MEDICAID	IOWA
17	060065984	MEDICARE PIN	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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