PATRICK M. GORDON M.D. – NPI #1972627701
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PATRICK GORDON is a physician located in LIVONIA, MI. NPPES has assigned the NPI number 1972627701 to PATRICK GORDON on March 19, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Jun 18, 2021. 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 PATRICK GORDON below.

NPI Profile for
PATRICK M. GORDON

NPI Number
1972627701
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PATRICK M. GORDON
Credentials
M.D.
Primary location
19000 ST JOE'S PARKWAY
SUITE 160
LIVONIA, MI 48152
Phone: (734) 884-5200 Fax: (734) 884-5201
Mailing address
24 FRANK LLOYD WRIGHT DR
PO BOX 0446 LOBBY J
ANN ARBOR, MI 48105-9484
Phone: (734) 747-6766 Fax: (734) 222-3100
Sole Proprietor
No
Updated
Certification Date
Jun 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208000000X
- Pediatrics (Primary)
MI 4301083472
390200000X
- Student in an Organized Health Care Education/Training Program
MI 4301083472

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.