Jody Laine Gordon, DO

Internal Medicine Physician · Lorain, OH

Individual Active NPI

NPI number 1740635903

Practice location

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone
(440) 960-4000

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NPI record

NPI
1740635903
Entity type
Individual (Type 1)
Enumeration date
April 25, 2016
Last updated
November 12, 2024
Certified
November 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 34.015151 OH
Internal Medicine Physician 207R00000X DO-05472 IA
Internal Medicine Physician 207R00000X R-11324 IA
Hospitalist Physician 208M00000X 34.015151 OH

Mailing address

621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone
(641) 428-3041
Fax
(641) 428-3059

About Dr. Gordon

Jody Laine Gordon, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 3700 Kolbe Rd, Lorain, OH 44053-1611. The NPI number 1740635903 was assigned on April 25, 2016 and the record was last updated on November 12, 2024.

Dr. Gordon lists 4 licenses in the registry: #34.015151 (OH) for Internal Medicine Physician; #DO-05472 (IA) for Internal Medicine Physician; #R-11324 (IA) for Internal Medicine Physician; #34.015151 (OH) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jody Laine Gordon, DO?

The NPI number is 1740635903.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (440) 960-4000.

Where is Dr. Gordon located?

3700 Kolbe Rd, Lorain, OH 44053-1611.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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