Terry R Gordon, MD - Internal Medicine in Southfield, MI

Terry R Gordon, MD is a Internal Medicine physician based in Southfield, Michigan. Terry R Gordon is licensed to practice in Michigan (license number 4301048641) and his current practice location is Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 358-0722.

NPI number for Terry R Gordon is 1053458653 and his current mailing address is Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053458653.

Contact Information

Terry R Gordon, MD
Henry Ford Health System, 22777 W. Eleven Mile Rd,
Southfield, MI 48034
(248) 358-0722
(248) 358-8658



Physician's Profile

Full NameTerry R Gordon
GenderMale
SpecialityInternal Medicine
LocationHenry Ford Health System, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053458653
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Terry R Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053458653NPI-NPPES
TG048641OtherCHAMPUS-CHAMPUS
TG048641OtherCOMMERCIAL-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301048641 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry R Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terry R Gordon, MD
Henry Ford Health System, 22777 W. Eleven Mile Rd,
Southfield, MI 48034

Ph: (248) 358-0722
Terry R Gordon, MD
Henry Ford Health System, 22777 W. Eleven Mile Rd,
Southfield, MI 48034

Ph: (248) 358-0722

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