Edward S. Gordon Dpm Pc

LBN: Edward S. Gordon Dpm Pc
Edward S. Gordon Dpm Pc is an health care organization with primary practice located at 25656 Schoenherr Road , Warren MI 48089-1447. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Edward S. Gordon Dpm Pc can be contacted via phone (586) 779-4820, or through Gordon, Edward Serge via phone (586) 779-4820.

Contact Information

Primary practice address
25656 Schoenherr Road Warren MI 48089-1447
Phone: (586) 779-4820
Fax: (586) 779-9535
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Edward Serge Doctor of Podiatric Medicine (DPM)
Phone: (586) 779-4820

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X EG0000597 Michigan

Profile Details

NPI number 1033118658
LBN Legal business name Edward S. Gordon Dpm Pc
DBA Doing business as
Authorized official Gordon, Edward Serge Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033118658 NPPES
Michigan MEDICAID 1198703

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