DR. IAN DAVID GORDON MD
NPI 1104876853
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Alexandria, VA

Q: What is Ian Gordon's NPI number?

The NPI number for Ian Gordon is 1104876853. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Ian Gordon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Ian Gordon was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 11, 2006PECOS Enrolled

8109 HINSON FARM RD, SUITE 501, ALEXANDRIA, VA 22306(703) 780-3223(703) 780-9408 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ian David Gordon Md NPPES

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

DR. IAN DAVID GORDON MD (NPI 1104876853) is an individual orthopaedic surgery of the spine provider in Alexandria, Virginia, licensed in Virginia (0101044678) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104876853

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. IAN DAVID GORDONCredential: MD

Location Address8109 HINSON FARM RD, SUITE 501Alexandria, VA 22306-3415

Mailing Address8109 Hinson Farm Rd, Suite 501Alexandria, VA 22306-3415 · (703) 780-3223 · Fax (703) 780-9408

Phone(703) 780-3223

Fax(703) 780-9408

Sole ProprietorYes

Enumeration DateMay 11, 2006

Last NPPES UpdateNovember 28, 2007

✔ NPI 1104876853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in VA · 0101044678

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

8109 HINSON FARM RD, Alexandria, VA 22306

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Other Identifiers 2

Medicare PIN566144VA

Medicare UPINE37899VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ian David Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL JEANNE REYNOLDS NP-C

Nurse Practitioner (Family)