Active NPIIndividual providerSole proprietor

Dr. Jason Gordon, MD

Family Medicine in Norfolk, Virginia

NPI Number1497915227
Practice location
Uss George Washington (Cvn 73), 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-2487
Fax
—
Last updated
March 8, 2024

Jason Gordon is a Family Medicine based in Norfolk, VA. Jason Gordon practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Jason Gordon is 1497915227 and holds a License No. 154668 (NC). The current practice location address for Jason Gordon is Uss George Washington (Cvn 73), 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-2487 and can be reached out via phone at 757-836-5929.

Provider Profile Details

NPI Number
1497915227
Provider Name
Jason Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Uss George Washington (Cvn 73), 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-2487
Phone Number
757-836-5929
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2008
Last Update Date
March 8, 2024
Certification Date
March 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Uss George Washington (Cvn 73)
1562 Mitscher Ave Suite 250
Norfolk, VA 23551-2487
Zip
23551-2487
Phone Number
757-836-5929
Norfolk, VA 23551Get directions →

Provider Business Mailing Address Details

Address
Uss George Washington (Cvn 73)
Unit 100148 Box 1
Fpo, AE 09550
City
Fpo
State
AE
Zip
09550

License Information

License Number (1)
154668
License State (1)
NC
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
2009-01416
License State (2)
NC
Taxonomy (2)
Family Medicine · 207Q00000X · Primary
License Number (3)
154668
License State (3)
NC
Taxonomy (3)
Preventive Medicine, Aerospace Medicine · 2083A0100X
License Number (4)
154668
License State (4)
NC

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 Dr. Jason Gordon, MD?

The NPI number of Dr. Jason Gordon, MD is 1497915227. It was assigned on June 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason Gordon, MD?

Dr. Jason Gordon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 154668.

Where does Dr. Jason Gordon, MD practice?

The practice location is Uss George Washington (Cvn 73), 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-2487. The office can be reached at 757-836-5929 (phone).

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 1497915227 directly on the NPPES registry website.

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