| Dr Jonathan Paul Gordon, MD | |
|
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
| (615) 851-6033 | |
| (615) 851-2018 |
| Full Name | Dr Jonathan Paul Gordon |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 3024 Business Park Cir, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043232879 | NPI | - | NPPES |
| 1509267 | Other | TN | MEDICAID - MTI |
| 4155683 | Other | TN | BCBS |
| 4291546 | Other | TN | BCBS - MTI |
| 1509267 | Medicaid | TN | |
| 3000164 | Medicaid | TN | |
| 30001642 | Medicaid | TN | |
| 4155495 | Other | TN | BCBS |
| 4200807 | Other | TN | BCBS TN |
| 7100021820 | Medicaid | KY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Maury Regional Hospital | Columbia, TN | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Northern Regional Hospital | Mount airy, NC | Hospital |
| Marshall Medical Center | Lewisburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spring Hill Imaging Center, Llc | 3577666536 | 14 |
| Stern Drake Isbell And Associates Pa | 3779480835 | 65 |
| Southern Radiology Associates Pllc | 7214913649 | 35 |
| Triad Radiology Associates Pllc | 8729086194 | 71 |
| Entity Name | Nol Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003910688 PECOS PAC ID: 5890608186 Enrollment ID: O20031112000227 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Southern Radiology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467460725 PECOS PAC ID: 7214913649 Enrollment ID: O20040626000358 |
| Entity Name | Clarksville Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043285539 PECOS PAC ID: 6709842529 Enrollment ID: O20041203000396 |
| Entity Name | Spring Hill Imaging Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073692158 PECOS PAC ID: 3577666536 Enrollment ID: O20070312000369 |
| Entity Name | Middle Tennessee Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770667289 PECOS PAC ID: 5698743706 Enrollment ID: O20110407000702 |
| Entity Name | Wisconsin Radiology Specialists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568446003 PECOS PAC ID: 2961314091 Enrollment ID: O20190403002179 |
| Entity Name | Adi Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20190909003468 |
| Entity Name | Premier Radiology Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200312001588 |
| Entity Name | Medical X-ray Consultants,ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386601383 PECOS PAC ID: 3274447313 Enrollment ID: O20210211001307 |
| Entity Name | Stern Drake Isbell & Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903398 PECOS PAC ID: 3779480835 Enrollment ID: O20230217001343 |
| Entity Name | Triad Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659485001 PECOS PAC ID: 8729086194 Enrollment ID: O20240205000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Paul Gordon, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Dr Jonathan Paul Gordon, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 |
Mr. Marc G Soble, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |