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

Individual provider Internal Medicine Physician · NPI 1407964299

Randall Stuart Gordon, DO is a Hospitalist in Philadelphia, Pennsylvania. Graduated from Nova Southeastern College of Osteo Medicine in 1993, 33 years ago. Practices with Clinical Care Associates of the University of Pennsylvania Health, a 593-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
33
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

800 Spruce Street Pine 1 W
Philadelphia, PA 19107-6130
Phone: (215) 829-7817
Fax: (215) 829-7129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS008913L (PA)

Record details

NPI number1407964299
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMay 10, 2012

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1993 (33 years in practice)
Group practice Clinical Care Associates Of The University Of Pennsylvania Health. — 593 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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