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EDWARD S. GORDON DPM PC
NPI 1033118658
Podiatrist in Warren, MI

Active since July 15, 2005
25656 SCHOENHERR ROAD, WARREN, MI 48089(586) 779-4820(586) 779-9535 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward S. Gordon Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD S. GORDON DPM PC (NPI 1033118658) is a healthcare organization registered as a podiatrist in Warren, Michigan and active in the NPI registry since July 2005. The organization lists Edward Serge Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1033118658
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDWARD S. GORDON DPM PC
Location Address25656 SCHOENHERR ROADWarren, MI 48089-1447
Mailing Address25656 Schoenherr RoadWarren, MI 48089-1447 · (586) 779-4820 · Fax (586) 779-9535
Phone(586) 779-4820
Fax(586) 779-9535
Organization SubpartNo
Authorized OfficialEdward Serge GordonPresident · (586) 779-4820
Enumeration DateJuly 15, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033118658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · EG0000597
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
25656 SCHOENHERR ROAD, Warren, MI 48089
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Other Identifiers 1

Medicaid1198703MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward S. Gordon Dpm PC's NPI number?

The NPI number for Edward S. Gordon Dpm PC is 1033118658. It was assigned to this organization in the NPPES registry on July 15, 2005.

Where is Edward S. Gordon Dpm PC located?

Edward S. Gordon Dpm PC is located at 25656 Schoenherr Road, Warren, MI 48089. The listed phone number is (586) 779-4820.

What is Edward S. Gordon Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Edward S. Gordon Dpm PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edward S. Gordon Dpm PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward S. Gordon Dpm PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.