Gordon, David Michael
Gordon, David Michael is an individual health care provider with primary practice located at 8805 N Meridian St , Indianapolis IN 46260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gordon, David Michael can be contacted via phone (317) 706-7246.Contact Information
Primary practice address
8805 N Meridian St
Indianapolis IN 46260
Phone: (317) 706-7246
Fax: (317) 706-3419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01080302A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01080302A | Indiana |
Profile Details
| NPI number | 1760724603 |
|---|---|
| LBN Legal business name | Gordon, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | Jul 6th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760724603 | NPPES |
| Indiana | MEDICAID | 300016474 |
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