JED A GORDEN MD NPI 1275630147

NPI Information

NPI: 1275630147
Provider Name: JED A GORDEN, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
515 MINOR AVE
SUITE 300
SEATTLE, WA
ZIP 98104
Phone: (206) 386-9500
Get Directions

Jed A Gorden, MD is a pulmonary disease internal medicine in Seattle, WA with 27 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Jed A Gorden, MD NPI is 1275630147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

515 MINOR AVE
SUITE 300
SEATTLE, WA
ZIP 98104-120
Phone: (206) 386-9500
Fax: (206) 386-9605

The NPI 1275630147 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 9/20/2006 and was last updated on 5/25/2021.

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	207R00000X	Internal Medicine		MD00037794	WASHINGTON	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	MD00037794	WASHINGTON	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	MD00037794	WASHINGTON	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	8274169	MEDICAID	WASHINGTON
2	P00442327	OTHER	WASHINGTON	PALMETTO RR MEDICARE
3	8703GO	OTHER	WASHINGTON	REGENCE
4	214344	OTHER	WASHINGTON	LABOR & INDUSTRY
5	5891740001	OTHER	WASHINGTON	DME

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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