DR. ELISE TREFF GORDON MD NPI 1700866118

NPI Information

NPI: 1700866118
Provider Name: DR. ELISE TREFF GORDON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 6000 W HIGHWAY 98
PENSACOLA, FL
ZIP 32512
Phone: (850) 452-8108

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NPI Details

DR. Elise Treff Gordon, MD is a family medicine in Pensacola, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Elise Treff Gordon, MD NPI is 1700866118. 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:

6000 W HIGHWAY 98
PENSACOLA, FL
ZIP 32512-001
Phone: (850) 452-8108
Fax: (850) 452-8979

The NPI 1700866118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 7/5/2024.

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	207QS0010X	Family Medicine	Sports Medicine	ME109095	FLORIDA	No
2	207Q00000X	Family Medicine		ME109095	FLORIDA	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	128081	MEDICAID	ALABAMA
2	128079	MEDICAID	ALABAMA
3	592-15141	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
4	003558200	MEDICAID	FLORIDA
5	592-15140	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
6	14E5R	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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