Stacy Gordon
M.D. | Pediatric Emergency Medicine | Female
Stacy Gordon, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Stacy Gordon is also known as
Anastasia Gordon.
Current practice location of Stacy Gordon is
3401 Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania - 19104-4319. She can be contacted on phone at
215-590-1944 and fax number 215-590-4454.
Stacy Gordon is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacy Gordon is
1821106758 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 03 Apr, 2014.
Stacy Gordon license number is
MD071070L for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Stacy Gordon has special qualifications to manage emergencies in infants and children.
Complete Profile:
Stacy Gordon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Stacy Gordon |
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| Other Name : | Anastasia Gordon |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stacy 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 : | 3401 Civic Center Blvd, Children's Hospital Of Philadelphia
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-1944 |
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| Fax Number : | 215-590-4454 |
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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 : | 1821106758 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 03 Apr, 2014 |
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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 Stacy Gordon are as mentioned. Primary taxonomy code for Stacy Gordon, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD071070L | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD071070L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Stacy Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 001803790 | MEDICAID | PA | |
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 : | 100 E Penn Sq, 9th Floor North Tower
Philadelphia, PA, 19107-3323
United States |
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| Phone Number : | 267-425-9234 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Stacy 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.