Individual
DR. JONATHAN PAUL GORDON
Active
Individual
DR. JONATHAN PAUL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
42009
TN
2085R0202X
Diagnostic Radiology Physician
2023-03047
NC
2085R0202X
Diagnostic Radiology Physician
Primary
42009
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119244500
—
FL
01
—
1509267
MEDICAID - MTI
TN
05
—
1509267
—
TN
05
—
3000164
—
TN
05
—
30001642
—
TN
01
—
4155495
BCBS
TN
01
—
4155683
BCBS
TN
01
—
4200807
BCBS TN
TN
01
—
4291546
BCBS - MTI
TN
05
—
7100021820
—
KY
Enumeration date
07/24/2006
Last updated
07/14/2026
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