Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578595427 Individual Practitioner Male Practitioner

Dr. Jack William Gordon , MD

Internal Medicine • Crosby, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jack Gordon, MD is a registered healthcare professional specializing in Internal Medicine in Crosby, MN. Official NPI practice address is registered at 320 EAST MAIN STREET.

Practice Location & Contact Primary Location

Practice Address

320 East Main Street

Crosby, MN 56441

Telephone 2185467000
Fax 2185464400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Crosby, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Crosby, MN (2726 Statewide)

Telehealth Adoption Rate
16.7% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 39563

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
412444800 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Matthew Fleming , PA-C

Physician Assistant

NPI 1003298381

Physician Assistant (Certified)

Dr. Camille Lang , MD

Family Medicine

NPI 1013165851

Doctor of Medicine (M.D.)

Jamie Withrow , RD, LD, CDE

Dietetic Technician, Registered

NPI 1013386457

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Adam English

Nurse Practitioner - Family

NPI 1013391515
Mitchell Mimbach , PA

Physician Assistant

NPI 1013528900

Physician Assistant

Dr. Rajesh Bhargava , MD

Internal Medicine

NPI 1013995802

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 320 EAST MAIN STREET, CROSBY, MN 56441 (Tel: 2185467000)

📍
Updated Business Mailing Address October 30, 2014

Registered at 320 EAST MAIN STREET, CROSBY, MN 56441 (Tel: 2185467000)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as JACK GORDON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Internal Medicine (License #39563 in MN)

🟢
Initial NPI Registration & Enumeration July 07, 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: 1578595427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: October 30, 2014
Sole Proprietor: No

Mailing Address

320 East Main Street

Crosby, MN 56441

Phone: 2185467000

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.