Dr. Geoffrey Gordon
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
11123 Parkview Plaza Dr Ste 204
Fort Wayne
, Indiana 46845-1707
Dr. Geoffrey Gordon
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
11123 Parkview Plaza Dr Ste 204
Fort Wayne
, Indiana 46845-1707
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Geoffrey Gordon
- 11109 Parkview Plaza Dr # 117
- Fort Wayne, IN
- Zip : 46845-1701
- Phone :
Second Address
- Dr. Geoffrey Gordon
- 11123 Parkview Plaza Dr Ste 204
- Fort Wayne, IN
- Zip : 46845-1707
- Fax : (260) 266-8385
- Phone : (260) 266-8380
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 01079690A | IN |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 63635 | WI |
National Provider Identifier
| NPI | 1336431139 |
|---|---|
| Provider Name | Dr. Geoffrey Gordon |
| First Address | Fort Wayne, IN 46845-1701 |
| Second Address | Fort Wayne, IN 46845-1707 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2011 |
| Last Update Date | 29/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.