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Deactivated NPI 1982643011 Deactivated / Inactive NPI Male Practitioner

Dr. Albert Morton Gordon , MD

Pediatrics • Edgewater, MD

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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. Albert Gordon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2006
NPI Deactivation Date May 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Albert Gordon, MD was a registered Pediatrics practicing in Edgewater, MD. Throughout an active medical career spanning 16 years, Dr. Gordon provided care at the practice location at 224 MAYO RD until profile deactivation on 2022-05-17.

Practice Location & Contact Primary Location

Practice Address

224 Mayo Rd

Edgewater, MD 210372951

Telephone 4109566303
Fax 4109566303
Associated Practice Facility / Clinic
🏢 Azam Baig,m.d. Facility NPI 1124123716

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Edgewater, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Edgewater, MD (1907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD 0O002016

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1043203664

Doctor of Medicine (M.D.)

NPI 1063616290

Doctor of Medicine (M.D.)

NPI 1306856059

Doctor of Medicine (M.D.)

Holly Mohr , MSRN PNP

Nurse Practitioner - Pediatrics

NPI 1629181185

MSRNPNP

NPI 1679686133

Doctor of Medicine (M.D.)

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 May 17, 2022

Record deactivated on May 17, 2022

NPI Profile Active October 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2012

Registered at 224 MAYO RD, EDGEWATER, MD 210372951 (Tel: 4109566303)

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Updated Business Mailing Address October 11, 2012

Registered at 548 CHOPTANK COVE CT, ANNAPOLIS, MD 214016515 (Tel: 4109746898)

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Provider Name / Credentials Updated October 11, 2012

Recorded as ALBERT GORDON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2012

Pediatrics (License #0O002016 in MD)

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Initial NPI Registration & Enumeration June 05, 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: 1982643011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: October 11, 2012
Deactivation Date: May 17, 2022

Mailing Address

548 Choptank Cove Ct

Annapolis, MD 214016515

Phone: 4109746898

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.