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Deactivated NPI 1356466205 Deactivated / Inactive NPI Male Practitioner

Dr. Philip E Gordon , MD

Surgery • Mashpee, MA

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

Registration / Start Date March 20, 2007
NPI Deactivation Date May 24, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Gordon, MD was a registered Surgery practicing in Mashpee, MA. Throughout an active medical career spanning 16 years, Dr. Gordon provided care at the practice location at 37 MONAHANSETT RD until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

37 Monahansett Rd

Mashpee, MA 026494743

Telephone 5084773506

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mashpee, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Mashpee, MA (1077 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 56364

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active September 12, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2009

Registered at 37 MONAHANSETT RD, MASHPEE, MA 026494743 (Tel: 5084773506)

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Updated Business Mailing Address September 12, 2009

Registered at 37 MONAHANSETT RD, MASHPEE, MA 026494743 (Tel: 5084773506)

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Provider Name / Credentials Updated September 12, 2009

Recorded as PHILIP GORDON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2009

Surgery (License #56364 in MA)

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Initial NPI Registration & Enumeration March 20, 2007

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: 1356466205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: September 12, 2009
Deactivation Date: May 24, 2023

Mailing Address

37 Monahansett Rd

Mashpee, MA 026494743

Phone: 5084773506

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.