GARY M GORDON DPM
NPI 1689675449
Podiatrist - Foot & Ankle Surgery in Glenside, PA

Active since August 02, 2005
2285 CROSS RD, GLENSIDE, PA 19038(215) 887-5910(215) 887-0387 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary M Gordon Dpm NPPES

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

GARY M GORDON DPM (NPI 1689675449) is an individual foot & ankle surgery provider in Glenside, Pennsylvania, licensed in Pennsylvania (SC001507L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1689675449
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGARY M GORDONCredential: DPM
Location Address2285 CROSS RDGlenside, PA 19038-5023
Mailing Address2285 Cross RdGlenside, PA 19038-5023 · (215) 887-5910 · Fax (215) 887-0387
Fax(215) 887-0387
Sole ProprietorYes
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 18, 2008
NPI 1689675449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in PA · SC001507L
2285 CROSS RD, Glenside, PA 19038

Other Identifiers 6

Other7305038PA · Aetna
Other0060610000PA · Keystone/amerihealth
Medicare UPINT28677PW
Medicaid0015356250001PA
Other30002264PA · Keystone Mercy
Medicare ID-Type UnspecifiedGO106428PA

Other Providers at the Same Location NPPES 8

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

Physical Therapist
2285 CROSS RD
GLENSIDE, PA 19038
Physical Therapist
2285 CROSS RD
GLENSIDE, PA 19038
Podiatrist
2285 CROSS RD
GLENSIDE, PA 19038
Podiatrist (Foot & Ankle Surgery)
2285 CROSS RD
GLENSIDE, PA 19038
Physical Therapy Assistant
2285 CROSS RD
GLENSIDE, PA 19038
Podiatrist (Foot & Ankle Surgery)
2285 CROSS RD
GLENSIDE, PA 19038
Physical Therapist
2285 CROSS RD
GLENSIDE, PA 19038
Physical Therapist
2285 CROSS RD
GLENSIDE, PA 19038

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 Gary Gordon's NPI number?

The NPI number for Gary Gordon is 1689675449. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Gary Gordon located?

Gary Gordon practices at 2285 Cross Rd, Glenside, PA 19038. The listed phone number is (215) 887-5910.

What is Gary Gordon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Gary Gordon was last updated on March 18, 2008. 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.