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MEREDITH LEIGH FISHBANE GORDON M.D. NPI 1417165614


NPI Information

NPI: 1417165614
Provider Name: MEREDITH LEIGH FISHBANE GORDON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1130 S SCOTT BLVD
UICMS SOUTHEAST CLINIC - GENERAL PEDIATRICS
IOWA CITY, IA
ZIP 52240
Phone: (319) 467-6789
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Meredith Leigh Fishbane Gordon, M.D. is a pediatrics in Iowa City, IA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Meredith Leigh Fishbane Gordon, M.D. NPI is 1417165614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1130 S SCOTT BLVD
UICMS SOUTHEAST CLINIC - GENERAL PEDIATRICS
IOWA CITY, IA
ZIP 52240-907
Phone: (319) 467-6789

The NPI 1417165614 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 5/19/2007 and was last updated on 4/8/2015.


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
1208000000XPediatrics231765MASSACHUSETTSNo
2208000000XPediatricsMD429411PENNSYLVANIANo
3208000000XPediatricsMD-41814IOWAYes

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.