JOHN C GORDON MD PA – NPI #1790903631
Orthopaedic Surgery

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

JOHN C GORDON MD PA is an orthopaedic surgeon located in BALTIMORE, MD. NPPES has assigned the NPI number 1790903631 to JOHN C GORDON MD PA on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JOHN C GORDON MD PA is also known by the name EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER. The primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN C GORDON MD PA below.

NPI Profile for
JOHN C GORDON MD PA

NPI Number
1790903631
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN C GORDON MD PA
Other Name: EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER
Primary location
6830 HOSPITAL DR
SUITE 202
BALTIMORE, MD 21237-4373
Phone: (301) 574-0077 Fax: (301) 574-0884
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEANNINE WILLS
MANAGER
Phone: (410) 574-0077
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.