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DR. JOEL PETER GORDON M.D. NPI 1770553505


NPI Information

NPI: 1770553505
Provider Name: DR. JOEL PETER GORDON, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3455 MAIN ST
SUITE 5
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 733-9600
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DR. Joel Peter Gordon, M.D. is a dermatology in Springfield, MA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Joel Peter Gordon, M.D. NPI is 1770553505. 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:

3455 MAIN ST
SUITE 5
SPRINGFIELD, MA
ZIP 01107-142
Phone: (413) 733-9600

The NPI 1770553505 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.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)

The enumeration date for this NPI number is 1/24/2006 and was last updated on 2/10/2017.


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
1207N00000XDermatology78013MASSACHUSETTSYes

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
1F67606MEDICARE UPINMASSACHUSETTS
2J14217MEDICARE PINMASSACHUSETTS
312706OTHERMASSACHUSETTSHEALTH NEW ENGLAND
44500254OTHERMASSACHUSETTSAETNA
5758399OTHERMASSACHUSETTSTUFTS HEALTH PLANS
63147062OTHERMASSACHUSETTSCIGNA
7J14217OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
8S400329146MEDICARE PINMASSACHUSETTS
9043238282OTHERMASSACHUSETTSAETNA
10747282OTHERMASSACHUSETTSCONNECTICARE
11758399OTHERMASSACHUSETTSTUFTS INSURANCE

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: 11/14/2023

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.