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DR. IAN DAVID GORDON MD NPI 1104876853


NPI Information

NPI: 1104876853
Provider Name: DR. IAN DAVID GORDON, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

PECOS Registration: Yes

Address:
8109 HINSON FARM RD
SUITE 501
ALEXANDRIA, VA
ZIP 22306
Phone: (703) 780-3223
Get Directions

DR. Ian David Gordon, MD is an orthopaedic surgery of the spine orthopaedic surgery in Alexandria, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Ian David Gordon, MD NPI is 1104876853. 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:

8109 HINSON FARM RD
SUITE 501
ALEXANDRIA, VA
ZIP 22306-415
Phone: (703) 780-3223
Fax: (703) 780-9408

The NPI 1104876853 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 5/11/2006 and was last updated on 11/28/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine0101044678VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1566144MEDICARE PINVIRGINIA
2E37899MEDICARE UPINVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.