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

Paul C Gordon, MD

Individual provider Cardiovascular Disease Physician · NPI 1568496677

Paul C Gordon, MD is an Interventional Cardiology in Providence, Rhode Island. Graduated from Columbia University College of Physicians and Surgeons in 1986, 40 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
40
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

208 Collyer St Ste 100
Providence, RI 02904
Phone: (401) 793-7191
Fax: (401) 793-7200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD8392 (RI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD8392 (RI)

Record details

NPI number1568496677
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESMarch 27, 2015
Mailing address117 Ellenfield St, Suite 101, Providence, RI 02905-4513

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1986 (40 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Providence