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HERSCHEL W GORDON M.D. NPI 1326033846


NPI Information

NPI: 1326033846
Provider Name: HERSCHEL W GORDON, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
275 HOSPITAL DR
DEPT OF PATHOLOGY
UKIAH, CA
ZIP 95482
Phone: (707) 462-3111
Get Directions

Herschel W Gordon, M.D. is an anatomic pathology and clinical pathology pathology in Ukiah, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Herschel W Gordon, M.D. NPI is 1326033846. 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:

275 HOSPITAL DR
DEPT OF PATHOLOGY
UKIAH, CA
ZIP 95482-531
Phone: (707) 462-3111
Fax: (707) 463-7509

The enumeration date for this NPI number is 9/12/2005 and was last updated on 10/9/2014.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyC20719CALIFORNIAYes

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
1BB009ZMEDICARE PINCALIFORNIA
200C207190MEDICARE PINCALIFORNIA
300C207191MEDICARE PINCALIFORNIA
4A31768MEDICARE UPINCALIFORNIA
500C207190MEDICAIDCALIFORNIA

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

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