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Deactivated NPI 1508822172 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony K Gordon , MD

Emergency Medicine • Pine Bluff, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Gordon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2006
NPI Deactivation Date August 24, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Gordon, MD was a registered Emergency Medicine practicing in Pine Bluff, AR. Throughout an active medical career spanning 16 years, Dr. Gordon provided care at the practice location at 6810 S HAZEL ST until profile deactivation on 2022-08-24.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, nursing facility annual assessment. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6810 S Hazel St

Pine Bluff, AR 716037828

Telephone 8705410342
Fax 8708502946
Associated Practice Facility / Clinic
🏢 Davis Nursing Association Facility NPI 1316935588

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Pine Bluff, AR (463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
63 45 $63.00 $39.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
45 36 $98.00 $60.83
99318 Nursing facility annual assessment, typically 30 minutes
14 14 $143.00 $87.13

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License AR E1629

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Johnalyn Gallinero

Physical Therapist - Geriatrics

NPI 1588045470

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2022

Record deactivated on August 24, 2022

NPI Profile Active February 24, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2014

Registered at 6810 S HAZEL ST, PINE BLUFF, AR 716037828 (Tel: 8705410342)

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Updated Business Mailing Address February 24, 2014

Registered at 123 NOYANT DR, LITTLE ROCK, AR 722235078 (Tel: 8705410342)

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Provider Name / Credentials Updated February 24, 2014

Recorded as ANTHONY GORDON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2014

Emergency Medicine (License #E1629 in AR)

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Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508822172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: February 24, 2014
Deactivation Date: August 24, 2022

Mailing Address

123 Noyant Dr

Little Rock, AR 722235078

Phone: 8705410342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.