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Contact Information

ROBERT T GORDON, MD
4150 5TH ST
RAPID CITY, SD57701-6022
 Phone: 605-399-4300
 Fax: 605-399-4352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT T GORDON · (Male)

NPI # 1588604581
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 12/27/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 5310
  • SD Medicaid 7301930
  • SD Other 4995658 BLUE CROSS OF SD
  • SD Other 060031670 RAILROAD MEDICARE
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL-SANTA CLARA - (Acute Care)
    700 LAWRENCE EXPRESSWAY
    SANTA CLARA, CA 95051
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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