Eugenie Gordon, PA-C
Physician Assistant in Birmingham, AL. Individual provider (NPI-1).
NPI number1104531375
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1104531375
- Entity type
- Individual (NPI-1)
- Name
- Eugenie Gordon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2134 | AL | Yes |
Practice location
619 19th St SBirmingham, AL 35233-1900
Phone 205-975-0512
Mailing address
619 19th St SBirmingham, AL 35249-1900
Phone 205-975-0512
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