Active NPIIndividual provider

Carrie A Gordon, MD

Pediatrics in South Portland, Maine

NPI Number1215020755
Practice location
41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252
Fax
207-253-6073
Last updated
October 22, 2026

Carrie A Gordon is a Pediatrics based in South Portland, ME. Carrie A Gordon practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Carrie A Gordon is 1215020755 and holds a License No. MD16227 (ME). The current practice location address for Carrie A Gordon is 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 and can be reached out via phone at 207-661-6064 and via fax at 207-253-6073.

Provider Profile Details

NPI Number
1215020755
Provider Name
Carrie A Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252
Phone Number
207-661-6064
Fax Number
207-253-6073
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2006
Last Update Date
October 22, 2026
Certification Date
October 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Donald B Dean Dr Ste A
South Portland, ME 04106-3252
State
Maine
Zip
04106-3252
Phone Number
207-661-6064
Fax Number
207-253-6073
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
41 Donald B Dean Dr Ste A
South Portland, ME 04106-3252
City
South Portland
State
ME
Zip
04106-3252
Phone Number
207-661-6064
Fax Number
207-253-6073

License Information

License Number (1)
MD16227
License State (1)
ME
Taxonomy (1)
Pediatrics, Pediatric Nephrology · 2080P0210X
License Number (2)
MD16227
License State (2)
ME
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carrie A Gordon, MD?

The NPI number of Carrie A Gordon, MD is 1215020755. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Carrie A Gordon, MD?

Carrie A Gordon, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in ME under license number MD16227.

Where does Carrie A Gordon, MD practice?

The practice location is 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252. The office can be reached at 207-661-6064 (phone) or 207-253-6073 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215020755 directly on the NPPES registry website.

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