Kenneth Gordon, M.D

ActiveIndividual ProviderDermatology
NPI issued: October 16, 2006

Quick Facts

NPI Number
1790865806
TypeIndividual
StatusActive
SpecialtyDermatology
Taxonomy207N00000X — Dermatology
Phone
(414) 454-8000
StateWI

NPI Validation Status: Verified

Valid 10-digit NPI number (1790865806)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 16, 2006)
Data source: CMS NPPES

Provider Overview

KENNETH GORDON, M.D is a Dermatology provider based in Wauwatosa, WI who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790865806
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateOctober 16, 2006

Practice Location

CityWauwatosa
StateWI
ZIP Code53226-4321
Phone(414) 454-8000

Specialties & Licenses

★ Primary
SpecialtyDermatology
Taxonomy Code207N00000X
License StateWI

Mailing Address

CityWauwatosa
StateWI
ZIP Code53226-4321
Phone(414) 454-8000
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790865806 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790865806for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790865806 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dermatology

Dermatologists specialize in the medical, surgical, and cosmetic treatment of disorders affecting the skin, hair, nails, and mucous membranes.

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20,662
Dermatology Providers in the US

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People Also Ask

What is Kenneth Gordon's NPI number?
Kenneth Gordon's NPI number is 1790865806, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kenneth Gordon's NPI currently active?
Yes, Kenneth Gordon's NPI status is Active as of the latest CMS NPPES database updates.
What does Kenneth Gordon specialize in?
Kenneth Gordon specializes in Dermatology. The healthcare taxonomy code associated with this specialty is 207N00000X.
Where does Kenneth Gordon practice?
Kenneth Gordon practices in Wauwatosa, WI 53226-4321.
When was Kenneth Gordon's NPI issued?
Kenneth Gordon's NPI was issued on October 16, 2006.
What is Kenneth Gordon's provider type?
Kenneth Gordon is registered as an Individual Provider under CMS NPI Type 1.