Catherine J Gordon

M.D. | Pediatric Hematology-Oncology | Female

---

Complete Profile:

Catherine J Gordon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Catherine J Gordon
Credential :	M.D.
Gender :	Female

Business Address:

Catherine J 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 :	2500 N State St Jackson, MS, 39216-4500 United States
Phone Number :	601-984-5200

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 :	1346349487
NPI Entity Type :	Individual
First Enrolment Date :	22 Sep, 2006
Last Updated On :	22 May, 2017

Medicare Participation:

Catherine J Gordon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6002948445
Medicare Enrollment ID :	I20100720000718
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Mississippi School Of Medicine
Graduation Year :	2003
Accepts Medicare?	Yes. Catherine J Gordon accepts medicare insurance.

Group Practice Association:

Catherine J Gordon is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Catherine J Gordon is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
State Of Mississippi - University Of Mississippi Medical Center	1850293036	828	2500 N State St Jackson, MS - 392164500	Yes

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 Catherine J Gordon are as mentioned. Primary taxonomy code for Catherine J Gordon, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	19315	MS
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	19315	MS

Legacy Identifiers:

Other legacy medical identifiers of Catherine J Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
08505248	MEDICAID	MS
194890	MEDICAID	AL
194890	MEDICAID	MS
302I373520	Other	MS	MEDICARE PTAN

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 :	2500 N State St Jackson, MS, 39216-4500 United States
Phone Number :	601-984-5200

Business Location:

Patients can refer following map for directions to Catherine J 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.