DR. ETHAN BENJAMIN GORDON MD
NPI 1760227367
Family Medicine in Saginaw, MI
About Dr. Ethan Benjamin Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN BENJAMIN GORDON MD (NPI 1760227367) is an individual family medicine provider in Saginaw, Michigan, licensed in Michigan (4351053528) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Ethan Benjamin Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAGINAW, MI 48604
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 Ethan Gordon's NPI number?
The NPI number for Ethan Gordon is 1760227367. It was assigned to this individual provider in the NPPES registry on June 26, 2024.
Where is Ethan Gordon located?
Ethan Gordon practices at 1575 Concentric Blvd, Saginaw, MI 48604. The listed phone number is (989) 746-7766.
What is Ethan Gordon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ethan Gordon enrolled in Medicare?
Yes. Ethan Gordon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ethan Gordon was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Ethan Benjamin Gordon, MD · NPI 1760227367
Family Medicine physician in Saginaw, Michigan. Individual provider, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1760227367 (Entity type: Individual)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4351053528 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1575 CONCENTRIC BLVD, Saginaw, MI 48604-9311
- **Phone:** (989) 746-7766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760227367) · Data from the CMS NPPES public registry.