IndividualActive
Mara Gordon
NPI 1679399562 · Physician Assistant · Detroit, MI
Mara Gordon is a Physician Assistant provider in Detroit, MI (NPI 1679399562).
Provider details
- NPI number
- 1679399562
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601013165 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
259 Mack Ave
Detroit, MI 48201-2427
Phone: (313) 577-1716
Street-level locationGet directions
Mailing address
259 Mack Ave
Detroit, MI 48201-2427
Additional practice locations (2)
- 43900 Garfield Rd Ste 100Clinton Township, MI 48038-1137Phone: (586) 286-0112Fax: (586) 286-2702
- 43900 Garfield Rd Ste 121Clinton Township, MI 48038-1137Phone: (586) 286-0112Fax: (586) 286-2702
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Mara Gordon's NPI number?
- Mara Gordon's National Provider Identifier (NPI) is 1679399562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mara Gordon's specialty?
- Mara Gordon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mara Gordon located?
- Mara Gordon's practice location on file with NPPES is 259 Mack Ave, Detroit, MI 48201-2427.
- What is Mara Gordon's phone number?
- The practice phone number listed in the NPPES registry for Mara Gordon is (313) 577-1716.
- Is Mara Gordon's NPI active?
- Yes — Mara Gordon's NPI (1679399562) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.