FLASH GORDON M.D. – NPI #1982666764
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

FLASH GORDON is a physician located in GREENBRAE, CA. NPPES has assigned the NPI number 1982666764 to FLASH GORDON on April 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 13 years ago on Jun 18, 2013. 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 FLASH GORDON below.

NPI Profile for
FLASH GORDON

NPI Number
1982666764
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FLASH GORDON
Credentials
M.D.
Primary location
1000 S ELISEO DR
STE 204
GREENBRAE, CA 94904-2133
Phone: (415) 461-2262 Fax: (415) 461-9376
Mailing address
Same as primary location
Sole Proprietor
Yes
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
208D00000X
- General Practice (Primary)
CA G37304

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
FLASH GORDON is affiliated with the following medical group(s):
  • HOSPITAL
    • MARIN GENERAL HOSPITAL
      250 BON AIR ROAD, PO BOX 8010
      GREENBRAE, CA 94904

Why is my NPI data (personal information) being displayed publicly?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.