Carrie A Gordon
MD | Pediatric Nephrology | Female
Carrie A Gordon, MD is a Portland, Maine based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Carrie A Gordon is
887 Congress St., Suite 320, Portland, Maine - 04102. She can be contacted on phone at
207-662-5522 and fax number 207-662-5527.
Carrie A Gordon is a sole proprietor of her business.
NPI number (Unique professional ID) for Carrie A Gordon is
1215020755 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 26 Apr, 2017.
Carrie A Gordon license number is
MD16227 for Pediatrics Pediatric Nephrology (2080P0210X) in Maine.
Carrie A Gordon deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Carrie A Gordon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Carrie A Gordon |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Carrie A Gordon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 887 Congress St., Suite 320
Portland, ME, 04102
United States |
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| Phone Number : | 207-662-5522 |
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| Fax Number : | 207-662-5527 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1215020755 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Oct, 2006 |
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| Last Updated On : | 26 Apr, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carrie A Gordon are as mentioned. Primary taxonomy code for Carrie A Gordon, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD16227 | ME |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | MD16227 | ME |
Legacy Identifiers:
Other legacy medical identifiers of Carrie A Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30204313 | MEDICAID | NH | |
| 407810099 | MEDICAID | ME | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 190 Riverside St, Suite 6b
Portland, ME, 04103-1073
United States |
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| Phone Number : | 207-621-2000 |
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| Fax Number : | 207-661-2033 |
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Business Location:
Patients can refer following map for directions to
Carrie A Gordon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.