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Contact Information

JONATHAN P GORDON, MD
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN37072-3132
 Phone: 615-851-6033
 Fax: 615-851-2018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JONATHAN P GORDON · (Male)

NPI # 1043232879
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 01/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2023-03047
  • TN License # 42009
  • KY Medicaid 7100021820
  • TN Medicaid 1509267
  • TN Medicaid 3000164
  • TN Medicaid 30001642
  • TN Other 4155495 BCBS
  • TN Other 4155683 BCBS
  • TN Other 4291546 BCBS - MTI
  • TN Other 4200807 BCBS TN
  • TN Other 1509267 MEDICAID - MTI
Hospital affiliation(s)
  • NORTHCREST MEDICAL CENTER - (Acute Care)
    100 NORTHCREST DRIVE
    SPRINGFIELD, TN 37172
  • RIVER PARK HOSPITAL - (Acute Care)
    1559 SPARTA STREET
    MC MINNVILLE, TN 37110
  • ST THOMAS HOSPITAL - (Acute Care)
    4220 HARDING RD, PO BOX 380
    NASHVILLE, TN 37205
  • UNIVERSITY MEDICAL CENTER - (Acute Care)
    1411 BADDOUR PARKWAY
    LEBANON, TN 37087
  • WILLIAMSON MEDICAL CENTER - (Acute Care)
    4321 CAROTHERS PARKWAY
    FRANKLIN, TN 37067
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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