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Deactivated NPI 1346392602 Deactivated / Inactive NPI Male Practitioner

Dr. Nathan L Gordon , DO

Anesthesiology • Columbus, MI

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

Registration / Start Date January 17, 2007
NPI Deactivation Date February 20, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Gordon, DO was a registered Anesthesiology practicing in Columbus, MI. Throughout an active medical career spanning 18 years, Dr. Gordon provided care at the practice location at 111 S GRANT until profile deactivation on 2025-02-20.

Practice Location & Contact Primary Location

Practice Address

111 S Grant

Columbus, MI 482143707

Telephone 6145665000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Columbus, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Columbus, MI (1799 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

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 5101005592

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Payton Joy

Physician Assistant

NPI 1003543851
Dr. Brennon Pinion , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1003607912

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Catherine Pelfrey , PA-C

Physician Assistant

NPI 1003642943

Physician Assistant (Certified)

Dr. Jason Seavolt , MD

Radiology - Radiation Oncology

NPI 1013947456

Doctor of Medicine (M.D.)

NPI 1023455086

Master of Science, Physician Assistant (Certified)

Bradley Closson , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1033968987

Registered Nurse, Certified Registered Nurse Anesthetist

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 February 20, 2025

Record deactivated on February 20, 2025

NPI Profile Active July 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2008

Registered at 111 S GRANT, COLUMBUS, MI 482143707 (Tel: 6145665000)

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Updated Business Mailing Address July 02, 2008

Registered at 19231 BERKELEY RD, DETROIT, MI 482211867 (Tel: 3133457888)

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Provider Name / Credentials Updated July 02, 2008

Recorded as NATHAN GORDON, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Anesthesiology (License #5101005592 in MI)

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Initial NPI Registration & Enumeration January 17, 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: 1346392602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 02, 2008
Deactivation Date: February 20, 2025

Mailing Address

19231 Berkeley Rd

Detroit, MI 482211867

Phone: 3133457888

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.