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JOHN C GORDON MD PA NPI 1790903631


NPI Information

NPI: 1790903631
Provider Name: JOHN C GORDON MD PA

Other Name: EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER

Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

Address:
6830 HOSPITAL DR
SUITE 202
BALTIMORE, MD
ZIP 21237
Phone: (301) 574-0077
Get Directions

JOHN C GORDON MD PA is a pediatric orthopaedic surgery orthopaedic surgery in Baltimore, MD. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. JOHN C GORDON MD PA NPI is 1790903631. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Eastern Sports Medicine & Orthopaedic Center.

The provider's business location address is:

6830 HOSPITAL DR
SUITE 202
BALTIMORE, MD
ZIP 21237-373
Phone: (301) 574-0077
Fax: (301) 574-0884

The provider's authorized official is Jeannine Wills .
The authorized official title is Manager and has the following contact phone number (410) 574-0077.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

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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