Active NPIIndividual provider

Michael Gordon, ATC

Specialist/Technologist, Athletic Trainer in Milton, Vermont

NPI Number1538624721
Practice location
184 Route 7 S, Milton, VT 05468-3602
Fax
802-893-7429
Last updated
February 1, 2019

Michael Gordon is a Specialist/Technologist, Athletic Trainer based in Milton, VT. Michael Gordon practices in Milton, VT and has the professional credentials of ATC. The NPI Number for Michael Gordon is 1538624721 and holds a License No. 104.0133908 (VT). The current practice location address for Michael Gordon is 184 Route 7 S, Milton, VT 05468-3602 and can be reached out via phone at 802-893-7427 and via fax at 802-893-7429.

Provider Profile Details

NPI Number
1538624721
Provider Name
Michael Gordon
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
184 Route 7 S, Milton, VT 05468-3602
Phone Number
802-893-7427
Fax Number
802-893-7429
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 1, 2019
Last Update Date
February 1, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
184 Route 7 S
Milton, VT 05468-3602
City
Milton
State
Vermont
Zip
05468-3602
Phone Number
802-893-7427
Fax Number
802-893-7429
Milton, VT 05468Get directions →

Provider Business Mailing Address Details

Address
Po Box 776
Milton, VT 05468-0776
City
Milton
State
VT
Zip
05468-0776
Phone Number
802-893-7427
Fax Number
802-893-7429

License Information

License Number
104.0133908
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Michael Gordon, ATC?

The NPI number of Michael Gordon, ATC is 1538624721. It was assigned on February 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Michael Gordon, ATC?

Michael Gordon, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104.0133908.

Where does Michael Gordon, ATC practice?

The practice location is 184 Route 7 S, Milton, VT 05468-3602. The office can be reached at 802-893-7427 (phone) or 802-893-7429 (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 1538624721 directly on the NPPES registry website.

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