ELLEN R GORDON MD
NPI 1275910168
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 30, 2015
3209 DRYDEN DR, MADISON, WI 53704(608) 241-9020(608) 274-0310 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellen R Gordon Md NPPES

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

ELLEN R GORDON MD (NPI 1275910168) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1275910168
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLEN R GORDONCredential: MD
Location Address3209 DRYDEN DRMadison, WI 53704-3015
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 274-0310
Sole ProprietorNo
Enumeration DateApril 30, 2015
NPI 1275910168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3209 DRYDEN DR, Madison, WI 53704

Other Providers at the Same Location NPPES 19

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

Otolaryngology
3209 DRYDEN DR
MADISON, WI 53704
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Physician Assistant
3209 DRYDEN DR
MADISON, WI 53704
Psychiatry & Neurology (Psychiatry)
3209 DRYDEN DR
MADISON, WI 53704
Physician Assistant (Medical)
3209 DRYDEN DR
MADISON, WI 53704
Durable Medical Equipment & Medical Supplies
3209 DRYDEN DR
MADISON, WI 53704
Physician Assistant (Medical)
3209 DRYDEN DR
MADISON, WI 53704
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704

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 Ellen Gordon's NPI number?

The NPI number for Ellen Gordon is 1275910168. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Ellen Gordon located?

Ellen Gordon practices at 3209 Dryden Dr, Madison, WI 53704. The listed phone number is (608) 241-9020.

What is Ellen Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellen Gordon was last updated on April 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.