ALICE H GORDON (PA-C) – Medical Physician Assistant, NPI 1811222045

ALICE H GORDON (PA-C) is a healthcare provider. based in Tamarac, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105207 (FL). The NPI Number for ALICE H GORDON (PA-C) is 1811222045

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ALICE H GORDON (PA-C)
NPI
1811222045
Phone
(954) 749-6955
Address
7351 W OAKLAND PARK BLVD
Enumeration Date
6 October 2009
Last Update Date
3 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544925728
Graduation Year
2009 (17 years ago)
PAC ID
0345467452
Group Practice PAC ID
1850298365
Professional Enrollment ID
I20140814000239
Address ID
FL333084603FT4725XDEPA601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for ALICE H GORDON (PA-C)

  • 7351 W OAKLAND PARK BLVD

    SUITE 106

    TAMARAC, FL 333197107

    Phone: (954) 749-6955

    Fax: (954) 578-2783

    Type: Mailing

  • 260, Southwest 84th Avenue, Plantation, Broward County, Florida, 33324, United States

    SUITE C

    PLANTATION, FL 333242715

    Phone: (954) 370-8585

    Fax: (954) 370-1585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $629.

Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Janssen Biotech, Inc. ($158).

Total Amount

$629

General + Research + Ownership

Payments

27

Total payment records

General Amount

$629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140814000239IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33319)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850298365View full group profile
NameSpecialtyState
Cardiac Surgery, Thoracic SurgeryIN
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Advanced Heart Failure And Transplant Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)FL
Orthopedic SurgeryFL
Anesthesiology, Pediatric MedicineFL
Gastroenterology, Internal MedicineFL
A N E S T H E S I O L O G YAL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find ALICE H GORDON (PA-C)'s NPI?
You can confirm ALICE H GORDON (PA-C) with NPI 1811222045; it appears in the national provider directory.
Does this profile mean ALICE H GORDON (PA-C) is currently active?
Yes — ALICE H GORDON (PA-C) appears active in the national provider directory.
Can you summarize ALICE H GORDON (PA-C)'s specialty in plain language?
Clinically, the directory lists ALICE H GORDON (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ALICE H GORDON (PA-C)'s primary listing?
We display Tamarac, Florida because that is what the record indicates for ALICE H GORDON (PA-C).
How can I contact ALICE H GORDON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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