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Deactivated NPI 1245264373 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Gordon , DO

General Practice • Reynoldsville, PA

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

Registration / Start Date July 11, 2006
NPI Deactivation Date March 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Gordon, DO was a registered General Practice practicing in Reynoldsville, PA. Throughout an active medical career spanning 12 years, Dr. Gordon provided care at the practice location at 5 N 3RD ST until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

5 N 3rd St

Reynoldsville, PA 158510907

Telephone 8146537686
Fax 8146539305
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Reynoldsville, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Reynoldsville, PA (434 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA OS-002975-L

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1962465427

Doctor of Medicine (M.D.)

Mary Logan , CRNP

Nurse Practitioner - Family

NPI 1962917245

Certified Registered Nurse Practitioner

Sharon Gilmore , CRNP

Nurse Practitioner - Pediatrics

NPI 1982799656

Certified Registered Nurse Practitioner

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 March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2011

Registered at 5 N 3RD ST, REYNOLDSVILLE, PA 158510907 (Tel: 8146537686)

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Updated Business Mailing Address June 16, 2011

Registered at PO BOX 447, DU BOIS, PA 158010447 (Tel: 8146537686)

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Provider Name / Credentials Updated June 16, 2011

Recorded as DANIEL GORDON, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

General Practice (License #OS-002975-L in PA)

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Initial NPI Registration & Enumeration July 11, 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: 1245264373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: June 16, 2011
Deactivation Date: March 02, 2018

Mailing Address

Po Box 447

Du Bois, PA 158010447

Phone: 8146537686

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.