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Contact Information

AMANDA E GORDON, MD
4030 WEST HENDERSON ROAD
COLUMBUS, OH43220
 Phone: 614-442-7550
 Fax: 614-442-4100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMANDA E GORDON · (Female)

NPI Number 1073711602
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2007
Last updated 03/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35.089724
  • OH Medicaid 2769857
Hospital affiliation(s)
  • DUBLIN METHODIST HOSPITAL - (Acute Care)
    7500 HOSPITAL AVENUE
    DUBLIN, OH 43016
  • OHIO STATE UNIVERSITY HOSPITALS - (Acute Care)
    410 WEST 10TH AVENUE
    COLUMBUS, OH 43210
  • RIVERSIDE METHODIST HOSPITAL - (Acute Care)
    3535 OLENTANGY RIVER RD
    COLUMBUS, OH 43214
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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