Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Gordon

Individual provider Surgical Physician Assistant · NPI 1508490079

Alicia Gordon is a Physician Assistant in Cleveland, Ohio. Qualified in 2019, 7 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-1078
Phone: (216) 442-2004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006208RX (OH)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1508490079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESMarch 19, 2024
Certification dateMarch 15, 2024
Mailing address9500 Euclid Ave, Cleveland, OH 44195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Cleveland