Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972627701 Individual Practitioner Male Practitioner

Dr. Patrick Michael Gordon , MD

Pediatrics • Livonia, MI

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Gordon, MD is a registered healthcare professional specializing in Pediatrics in Livonia, MI. Practice services are available at 19000 ST JOE'S PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19000 St Joe's Parkway
Suite 160

Livonia, MI 48152

Telephone 7348845200
Fax 7348845201
Associated Practice Facility / Clinic
🏢 Iha Olma Specialty 1 Llc Facility NPI 1891371118

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Livonia, MI

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

Practicing in Livonia, MI (2263 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

CMS Verified: 2021-06-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301083472

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MI 4301083472

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Brooke Justis , CNP

Nurse Practitioner - Pediatrics

NPI 1003246380

Certified Nurse Practitioner

NPI 1548641517

Doctor of Medicine (M.D.)

NPI 1619472156

Doctor of Medicine (M.D.), Master of Public Health

NPI 1669793154

Doctor of Medicine (M.D.)

Rachael Rizzo , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1922736131

PNPPC

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 18, 2021

Registered at 19000 ST JOE'S PARKWAY, SUITE 160, LIVONIA, MI 48152 (Tel: 7348845200)

NPI Profile Active January 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2017

Registered at 4200 WHITEHALL DR, SUITE 230, ANN ARBOR, MI 481059694 (Tel: 7347693896)

📍
Updated Business Mailing Address January 02, 2017

Registered at 24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 481059484 (Tel: 7347476766)

👤
Provider Name / Credentials Updated January 02, 2017

Recorded as PATRICK GORDON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2017

Pediatrics (License #4301083472 in MI)

🟢
Initial NPI Registration & Enumeration March 19, 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: 1972627701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: June 18, 2021
Sole Proprietor: No

Mailing Address

24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J

Ann Arbor, MI 481059484

Phone: 7347476766

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.