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DR. MICHAEL SCOTT GORDON MD NPI 1407811334


NPI Information

NPI: 1407811334
Provider Name: DR. MICHAEL SCOTT GORDON, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
480 MAPLE ST
DANVERS, MA
ZIP 01923
Phone: (978) 304-8451
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DR. Michael Scott Gordon, MD is an endocrinology and diabetes and metabolism internal medicine in Danvers, MA with 42 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Michael Scott Gordon, MD NPI is 1407811334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:1982

The provider's business location address is:

480 MAPLE ST
DANVERS, MA
ZIP 01923-121
Phone: (978) 304-8451
Fax: (978) 304-8449

The NPI 1407811334 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours (HCPCS:95251)

The enumeration date for this NPI number is 4/20/2006 and was last updated on 3/23/2009.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism54391MASSACHUSETTSYes

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
1B99148MEDICARE UPINMASSACHUSETTS
23300086OTHERMASSACHUSETTSUNITED HEALTHCARE
3710566OTHERMASSACHUSETTSTUFTS
45161OTHERMASSACHUSETTSHARVARD PILGRIM
53023397MEDICAIDMASSACHUSETTS
62384OTHERMASSACHUSETTSFALLON
7J06385OTHERMASSACHUSETTSBCBS
81407811334MEDICARE NSCMASSACHUSETTS
991531OTHERMASSACHUSETTSCIGNA
1028480OTHERMASSACHUSETTSMATTHEW THORNTON
1128480OTHERMASSACHUSETTSANTHEM

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.