Gordon, Jonathan Paul
Gordon, Jonathan Paul is an individual health care provider with primary practice located at 3024 Business Park Cir , Goodlettsville TN 37072-3132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gordon, Jonathan Paul can be contacted via phone (615) 851-6033.Contact Information
Primary practice address
3024 Business Park Cir
Goodlettsville TN 37072-3132
Phone: (615) 851-6033
Fax: (615) 851-2018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 42009 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2023-03047 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 42009 | Tennessee |
Profile Details
| NPI number | 1043232879 |
|---|---|
| LBN Legal business name | Gordon, Jonathan Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 16th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043232879 | NPPES |
| Tennessee | Other | 1509267 | MEDICAID - MTI |
| Tennessee | Other | 4155683 | MEDICAID - MTI |
| Tennessee | Other | 4291546 | MEDICAID - MTI |
| Tennessee | MEDICAID | 1509267 | MEDICAID - MTI |
| Tennessee | MEDICAID | 3000164 | MEDICAID - MTI |
| Tennessee | MEDICAID | 30001642 | MEDICAID - MTI |
| Tennessee | Other | 4155495 | MEDICAID - MTI |
| Tennessee | Other | 4200807 | MEDICAID - MTI |
| Tennessee | MEDICAID | 7100021820 | MEDICAID - MTI |
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