Individual
DR. JONATHAN PAUL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
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
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
01/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us