Provider Demographics
NPI:1366414468
Name:GORDON, MURRAY B (MD)
Entity type:Individual
Prefix:
First Name:MURRAY
Middle Name:B
Last Name:GORDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:420 E NORTH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-359-3426
Mailing Address - Fax:412-359-6974
Practice Address - Street 1:420 E NORTH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-359-3426
Practice Address - Fax:412-359-6974
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021295E207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103913OtherUPMC
PA460003336OtherRAILROAD MEDICARE
PA1004837OtherGATEWAY HEALTH PLAN
PA62338OtherUNISON / MEDPLUS
PAGO079319OtherBLUE SHIELD
PA2654921OtherAETNA USHC
PA0008583540002Medicaid
PA029390100OtherFEDERAL BLACK LUNG
PA2005991000OtherWEST VIRGINIA MEDICAID
PA7260967OtherCIGNA
PA244601OtherHEALTH AMERICA
PA079319P7UMedicare PIN
PA244601OtherHEALTH AMERICA
PA0008583540002Medicaid