Gary M Gordon Dpm PC
Gary M Gordon Dpm PC is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Glenside, PA, holding Type 2 (organization) NPI 1659455756 since 2006. The authorized official on file is Gary Gordon, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659455756 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gary M Gordon Dpm PC |
| Practice address | 2285 CROSS RD, Glenside, PA, 19038 |
| Phone | 2158875910 |
| Fax | 2158870387 |
| Enumeration date | 2006-10-25 |
| Last updated in NPPES | 2008-03-18 |
Authorized official
| Name | Gary Gordon |
|---|---|
| Title | President |
| Phone | 2158875910 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | SC001507L | PA |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | SC00L57L | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991 | Other | — | AETNA HMO |
| 0060635000 | Other | — | KEYSTONE |
| 0000118918 | Other | — | PA BLUE SHIELD |
| 0060635000 | Other | — | PERSONAL CHOICE |
| 7305038 | Other | — | AETNA |
Copy-ready billing details
Provider: Gary M Gordon Dpm PC NPI: 1659455756 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 2285 CROSS RD, Glenside, PA, 19038
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689675449 | Gary Gordon | Individual | Foot & Ankle Surgery Podiatrist | Glenside, PA |
| 1720234404 | Tahira Collier | Individual | Physical Therapist | Glenside, PA |
| 1770839763 | Lawrence A. Paster Physical Therapy, LLC | Organization | Physical Therapist | Glenside, PA |
| 1710321823 | Alicia Canzanese | Individual | Foot & Ankle Surgery Podiatrist | Glenside, PA |
| 1609311034 | Gordon Podiatry, LLC | Organization | Podiatrist | Glenside, PA |
| 1518447663 | Robert Henderson | Individual | Physical Therapist | Glenside, PA |
| 1316776263 | Kalah Surratt | Individual | Physical Therapist | Glenside, PA |
| 1679434153 | Erica Rup | Individual | Physical Therapy Assistant | Glenside, PA |
Verify this record
Cross-check NPI 1659455756 against the authoritative CMS record: view Gary M Gordon Dpm PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Gary M Gordon Dpm PC?
Who is the authorized official for Gary M Gordon Dpm PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-18.